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General NPI Number Information
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NPI Number | 1295624716
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Entity Type | Organization
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Legal Business Name | COLORS OF THE MIND
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 6113 ROME CIR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-4846
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Country | US
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Telephone | 608-445-8049
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 KENOSHA DR NW APT 207
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City | ROCHESTER
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State | MN
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Zip | 55901-4331
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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 | PRESIDENT
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Name | ABDI AHMED
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Credential |
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Telephone | 608-445-8049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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