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General NPI Number Information
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NPI Number | 1164244182
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Entity Type | Individual
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Provider Name | ABDULLAHI HAJI ELMI
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Gender | Male
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2361 HIGHWAY 36 W STE 200
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City | ROSEVILLE
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State | MN
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Zip | 55113-3909
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Country | US
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Telephone | 651-888-6695
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Fax |
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Provider Business Mailing Address
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Address Line | 7419 75TH CIR N
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City | BROOKLYN PARK
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State | MN
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Zip | 55428-1260
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Country | US
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Telephone | 619-400-7417
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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