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General NPI Number Information
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NPI Number | 1154528115
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Entity Type | Organization
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Legal Business Name | THE U GROUP, INC.
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13033 RIDGEDALE DR SUITE 211
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City | MINNETONKA
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State | MN
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Zip | 55305-1807
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Country | US
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Telephone | 952-201-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 13033 RIDGEDALE DR SUITE 211
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City | MINNETONKA
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State | MN
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Zip | 55305-1807
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Country | US
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Telephone | 952-201-5559
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. KEN UJIFUSA
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Credential | PSY.D., L.I.C.S.W.
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Telephone | 952-201-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 07187
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License Number State | MN
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