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General NPI Number Information
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NPI Number | 1316800626
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Entity Type | Organization
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Legal Business Name | MINNESOTA HEALTH SERVICES INC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 4110 FOXGLOVE AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1615
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Country | US
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Telephone | 763-377-0836
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Fax |
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Provider Business Mailing Address
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Address Line | 4110 FOXGLOVE AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1615
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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 | GINIKA O OSAKWE
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Credential | DR.
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Telephone | 763-377-0836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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