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General NPI Number Information
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NPI Number | 1275407017
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Entity Type | Organization
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Legal Business Name | STAT PHYSICIANS SERVICES
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 8526 152ND CIR NW
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City | RAMSEY
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State | MN
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Zip | 55303-7125
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Country | US
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Telephone | 763-898-2157
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Fax | 689-204-0456
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Provider Business Mailing Address
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Address Line | 8526 152ND CIR NW
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City | RAMSEY
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State | MN
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Zip | 55303-7125
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Country | US
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Telephone | 763-898-2157
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Fax | 689-204-0456
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS M ONDARA
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Credential | FNP
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Telephone | 763-898-2157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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