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General NPI Number Information
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NPI Number | 1205645777
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Entity Type | Organization
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Legal Business Name | JANUS LEPC, LLC
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 5424 KNOX AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55419-1502
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Country | US
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Telephone | 612-741-5154
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Fax | 612-928-9182
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Provider Business Mailing Address
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Address Line | 5424 KNOX AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55419-1502
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Country | US
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Telephone | 612-741-5154
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Fax | 612-928-9182
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGEMENT CONSULTANT
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Name | NICOLE NAVARRETE
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Credential |
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Telephone | 612-479-2215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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