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General NPI Number Information
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NPI Number | 1053779520
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Entity Type | Organization
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Legal Business Name | MINNESOTA MATH AND SCIENCE ACADEMY
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 169 JENKS AVE
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City | SAINT PAUL
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State | MN
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Zip | 55117-5068
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Country | US
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Telephone | 651-246-0845
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Fax | 651-330-1984
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Provider Business Mailing Address
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Address Line | 169 JENKS AVE
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City | SAINT PAUL
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State | MN
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Zip | 55117-5068
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Country | US
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Telephone | 651-246-0845
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Fax | 651-330-1984
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Authorized Official
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Title or Position | DIRECTOR
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Name | MURAT OGUZ
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Credential |
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Telephone | 651-246-0845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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