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General NPI Number Information
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NPI Number | 1235602707
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Entity Type | Organization
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Legal Business Name | TWIN CITIES TMS LLC
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 8707 SKOKIE BLVD SUITE 207
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City | SKOKIE
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State | IL
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Zip | 60077
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Country | US
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Telephone | 847-400-9723
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Fax | 847-960-3485
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Provider Business Mailing Address
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Address Line | 150 SNELLING AVE N #229
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City | SAINT PAUL
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State | MN
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Zip | 55104
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Country | US
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Telephone | 847-400-9723
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Fax | 847-960-3485
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Authorized Official
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Title or Position | OWNER
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Name | DANNY WEIHRAUCH
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Credential |
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Telephone | 651-216-4788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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