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NPI 1164049110

NPI 1164049110 : CHLOE REE MD : MOORHEAD, MN

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General NPI Number Information
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    NPI Number           |    1164049110
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    Entity Type          |    Individual 
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    Provider Name        |    CHLOE REE MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/25/2020
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    Last Update Date     |    01/28/2025
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Provider Practice Location Address
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    Address Line         |    4000 28TH AVE S 
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    City                 |    MOORHEAD
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    State                |    MN
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    Zip                  |    56560-7926
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    Country              |    US
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    Telephone            |    701-234-3200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5074 
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    City                 |    SIOUX FALLS
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    State                |    SD
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    Zip                  |    57117-5074
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    Country              |    US
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    Telephone            |    701-023-4320
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    78399
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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