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General NPI Number Information
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NPI Number | 1043995202
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Entity Type | Individual
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Provider Name | FARTUN ABDUKAR
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Gender | Female
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 9001 E BLOOMINGTON FWY STE 129B
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City | BLOOMINGTON
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State | MN
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Zip | 55420-3435
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Country | US
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Telephone | 612-232-9393
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Fax | 952-314-1523
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Provider Business Mailing Address
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Address Line | 3001 JAMES AVE N
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City | MINNEAPOLIS
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State | MN
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Zip | 55411-1241
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Country | US
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Telephone | 612-232-9393
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Fax | 952-314-1523
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 75703
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License Number State | MN
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