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General NPI Number Information
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NPI Number | 1043153539
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Entity Type | Organization
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Legal Business Name | THRIVING SPIRIT LIFESTYLE MEDICINE LLC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 110 OAK ST N
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City | CHASKA
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State | MN
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Zip | 55318-2934
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Country | US
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Telephone | 952-356-9945
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Fax |
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Provider Business Mailing Address
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Address Line | 110 OAK ST N
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City | CHASKA
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State | MN
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Zip | 55318-2934
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Country | US
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Telephone | 952-356-9945
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADRIENNE DEMBINSKI
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Credential | OTD, OTR/L
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Telephone | 952-356-9945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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