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General NPI Number Information
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NPI Number | 1093638090
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Entity Type | Individual
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Provider Name | ANDREW BEHM
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Gender | Male
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 6625 W 78TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55439-2649
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Country | US
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Telephone | 612-386-1829
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Fax |
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Provider Business Mailing Address
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Address Line | 6009 VIRGINIA AVE S
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City | EDINA
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State | MN
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Zip | 55424-1757
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Country | US
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Telephone |
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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 | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number | 116991
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License Number State | MN
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