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General NPI Number Information
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NPI Number | 1295625242
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Entity Type | Organization
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Legal Business Name | MINNEMOTION TRANSPORTATION LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 4194 BRADDOCK TRL
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City | EAGAN
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State | MN
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Zip | 55123-1573
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Country | US
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Telephone | 651-410-8941
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Fax |
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Provider Business Mailing Address
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Address Line | 4194 BRADDOCK TRL
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City | EAGAN
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State | MN
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Zip | 55123-1573
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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 | OWNER
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Name | MOHAMMED MUSTAFA
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Credential |
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Telephone | 651-410-8941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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