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NPI 1275331308

NPI 1275331308 : THE LANDING OF MINNESOTA, LLC : FRIDLEY, MN

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General NPI Number Information
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    NPI Number           |    1275331308
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE LANDING OF MINNESOTA, LLC 
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Dates
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    Enumeration Date     |    03/05/2025
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    Last Update Date     |    02/20/2026
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Provider Practice Location Address
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    Address Line         |    6425 HIGHWAY 65 NE 
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    City                 |    FRIDLEY
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    State                |    MN
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    Zip                  |    55432-5128
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    Country              |    US
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    Telephone            |    844-526-3464
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    Fax                  |    651-448-2147
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Provider Business Mailing Address
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    Address Line         |    1295 NORTHLAND DR STE 270 
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    City                 |    MENDOTA HEIGHTS
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    State                |    MN
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    Zip                  |    55120-1373
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    Country              |    US
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    Telephone            |    612-900-7021
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT AND CEO
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    Name                 |    DR. DAMIR STEVAN UTRZAN 
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    Credential           |    PH.D., LMFT
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    Telephone            |    612-900-7021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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