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General NPI Number Information
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NPI Number | 1205970894
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Entity Type | Organization
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Legal Business Name | ST. CROIX ORTHOPAEDICS, P.A.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 1715 TOWER DR. W SUITE 100 HEARTLAND CENTER
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City | STILLWATER
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State | MN
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Zip | 55082-7609
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Country | US
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Telephone | 651-275-4180
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Fax | 651-275-2744
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Provider Business Mailing Address
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Address Line | 5803 NEAL AVE N
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City | OAK PARK HEIGHTS
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State | MN
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Zip | 55082-2177
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Country | US
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Telephone | 651-439-8807
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Fax | 651-439-0232
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Authorized Official
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Title or Position | DIRECTOR OF ANCILLARY SERVICES
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Name | AMY LINDSTROM
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Credential |
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Telephone | 651-351-2728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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