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General NPI Number Information
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NPI Number | 1124274527
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MINNESOTA PHYSICIANS
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 901 SECOND ST S SUITE A
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City | MINNEAPOLIS
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State | MN
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Zip | 55415
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Country | US
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Telephone | 612-273-6089
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Fax | 612-339-1890
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Provider Business Mailing Address
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Address Line | PO BOX 860217
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0217
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Country | US
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Telephone | 763-782-6400
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Fax | 763-782-9558
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Authorized Official
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Title or Position | CFO
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Name | WILLIAM SIBERT
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Credential |
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Telephone | 612-884-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | MN
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Taxonomy #2
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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 | MN
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