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General NPI Number Information
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NPI Number | 1255264008
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Entity Type | Individual
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Provider Name | MRS. ANNE OBERMILLER
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 10700 CEDAR LAKE RD
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City | MINNETONKA
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State | MN
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Zip | 55305-3361
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Country | US
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Telephone | 952-988-4800
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Fax | 952-988-4869
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Provider Business Mailing Address
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Address Line | 1001 HIGHWAY 7
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City | HOPKINS
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State | MN
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Zip | 55305-4737
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Country | US
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Telephone | 952-988-4000
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Fax | 952-988-4092
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 455042
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License Number State | MN
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