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General NPI Number Information
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NPI Number | 1073474888
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Entity Type | Organization
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Legal Business Name | MINNESOTA HOPE INSITITUTE
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 5201 BRYANT AVE N
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City | MINNEAPOLIS
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State | MN
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Zip | 55430-3588
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Country | US
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Telephone | 612-504-2047
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Fax |
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Provider Business Mailing Address
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Address Line | 705 42ND AVE N STE 3
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City | MINNEAPOLIS
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State | MN
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Zip | 55412-1711
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Country | US
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Telephone | 763-290-2736
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Fax | 612-605-0139
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Authorized Official
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Title or Position | CEO/TREATMENT DIRECTOR
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Name | JEFFREY S POWELL
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Credential | LADC, LSW, CPRS
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Telephone | 763-290-2736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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