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General NPI Number Information
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NPI Number | 1194238287
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Entity Type | Individual
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Provider Name | TUOMAS ALEKSI MORAN PT, DPT, ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 11/10/2017
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Provider Practice Location Address
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Address Line | 535 HOSPITAL RD
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City | NEW RICHMOND
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State | WI
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Zip | 54017-1449
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Country | US
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Telephone | 715-243-2760
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Fax |
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Provider Business Mailing Address
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Address Line | 2203 FULHAM ST
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City | ROSEVILLE
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State | MN
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Zip | 55113-3816
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Country | US
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Telephone | 651-757-6518
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10774
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2615
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2022-39
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13991-24
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License Number State | WI
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