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General NPI Number Information
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NPI Number | 1295533149
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Entity Type | Organization
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Legal Business Name | GROWTH THERAPY INC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 8500 NORMANDALE LAKE BLVD STE 350 OFFICE 23
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City | BLOOMINGTON
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State | MN
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Zip | 55437-3805
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Country | US
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Telephone | 614-500-0876
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 NORMANDALE LAKE BLVD STE 350
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City | BLOOMINGTON
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State | MN
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Zip | 55437-3805
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Country | US
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Telephone | 614-500-0876
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABDIRISAK HUSSEIN
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Credential |
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Telephone | 614-500-0876
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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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