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General NPI Number Information
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NPI Number | 1326572520
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Entity Type | Organization
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Legal Business Name | ADVOCATES FOR REPRODUCTIVE EDUCATION
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 424 JAMES ST
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City | BRAINERD
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State | MN
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Zip | 56401-2989
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Country | US
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Telephone | 218-330-1863
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1086
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City | BRAINERD
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State | MN
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Zip | 56401-1086
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Country | US
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Telephone | 218-330-1863
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BECKY TWAMLEY
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Credential | RPH
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Telephone | 218-330-1863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State | MN
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