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General NPI Number Information
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NPI Number | 1073487815
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Entity Type | Individual
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Provider Name | SAIDA MADAI TREVINO CORTEZ PTA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 5825 SAINT CROIX AVE N
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City | MINNEAPOLIS
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State | MN
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Zip | 55422-4419
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Country | US
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Telephone | 763-544-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 365 NICOLLET MALL STE 602
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-4421
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Country | US
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Telephone | 956-457-8774
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A3098
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License Number State | MN
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