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General NPI Number Information
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NPI Number | 1235304767
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Entity Type | Organization
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Legal Business Name | OPPORTUNITY PARTNERS INC.
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 11754 191ST AVENUE NORTHWEST
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City | BLOOMINGTON
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State | MN
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Zip | 55437-2038
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Country | US
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Telephone | 612-831-4155
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 OPPORTUNITY CT
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City | MINNETONKA
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State | MN
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Zip | 55343-9020
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Country | US
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Telephone | 952-938-5511
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. ARMANDO CAMACHO
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Credential |
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Telephone | 952-912-7464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 804044
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License Number State | MN
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