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General NPI Number Information
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NPI Number | 1164224077
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Entity Type | Organization
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Legal Business Name | ASCEND WELLNESS, INC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 37 28TH AVE N STE A1155
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City | SAINT CLOUD
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State | MN
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Zip | 56303-4640
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Country | US
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Telephone | 320-444-9396
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Fax |
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Provider Business Mailing Address
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Address Line | 37 28TH AVE N STE A1155
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City | SAINT CLOUD
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State | MN
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Zip | 56303-4640
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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 | MANAGER
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Name | MOHAMED ALI HUSSEN
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Credential |
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Telephone | 320-444-9396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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