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General NPI Number Information
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NPI Number | 1255353892
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Entity Type | Organization
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Legal Business Name | TARGET CORPORATION AND SUBSIDIARIES
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 26831 S TAMIAMI TRL
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-7823
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Country | US
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Telephone | 239-948-1999
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Fax | 239-948-1903
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Provider Business Mailing Address
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Address Line | 1000 NICOLLET MALL # 0910
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-2542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGED CARE ADMIN SPECIALIST
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Name | DENISE PACKER
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Credential |
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Telephone | 612-696-2268
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH0015805
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License Number State | FL
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