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General NPI Number Information
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NPI Number | 1295960557
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Entity Type | Organization
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Legal Business Name | NEWSENSE, LTD.
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 05/15/2009
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Provider Practice Location Address
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Address Line | 1730 CLIFTON PL 111
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-3242
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Country | US
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Telephone | 612-871-2165
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Fax | 612-871-2448
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Provider Business Mailing Address
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Address Line | 1730 CLIFTON PL 111
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-3242
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Country | US
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Telephone | 612-871-2165
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Fax | 612-871-2448
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Authorized Official
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Title or Position | PRESIDENT
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Name | LESLIE FARICY
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Credential | PH.D.
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Telephone | 612-871-2165
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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 | LP2343
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License Number State | MN
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