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General NPI Number Information
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NPI Number | 1063165298
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Entity Type | Organization
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Legal Business Name | BEE WELL CLINIC, PLLC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 1319 GROVE AVE STE 3
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City | MONTEVIDEO
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State | MN
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Zip | 56265-1726
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Country | US
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Telephone | 320-321-2950
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Fax | 949-863-2659
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Provider Business Mailing Address
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Address Line | 1319 GROVE AVE STE 3
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City | MONTEVIDEO
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State | MN
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Zip | 56265-1726
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Country | US
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Telephone | 320-321-2950
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Fax | 949-863-2659
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DONNA PIOTTER
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Credential | DNP, FNP-BC
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Telephone | 320-321-2950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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