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NPI 1295525665

NPI 1295525665 : RIPPLE LEARNING CENTER LLC : NEW HOPE, MN

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General NPI Number Information
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    NPI Number           |    1295525665
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIPPLE LEARNING CENTER LLC 
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Dates
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    Enumeration Date     |    05/08/2025
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    Last Update Date     |    09/06/2025
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Provider Practice Location Address
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    Address Line         |    4124 QUEBEC AVE N STE 105C 
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    City                 |    NEW HOPE
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    State                |    MN
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    Zip                  |    55427-1200
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    Country              |    US
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    Telephone            |    425-773-8313
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4550 SW BETTS AVE # 44 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97005-2869
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    Country              |    US
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    Telephone            |    425-773-8313
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    Fax                  |    612-500-4952
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     HIWOT  BEKELE 
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    Credential           |    
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    Telephone            |    503-348-2890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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