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General NPI Number Information
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NPI Number | 1326921941
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Entity Type | Organization
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Legal Business Name | CIRCLE PINES FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2 S PINE DR
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City | CIRCLE PINES
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State | MN
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Zip | 55014-1798
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Country | US
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Telephone | 763-786-8460
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Fax |
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Provider Business Mailing Address
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Address Line | 330 GARFIELD ST S STE 330
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City | CAMBRIDGE
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State | MN
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Zip | 55008-1772
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Country | US
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Telephone | 651-470-9590
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BARBRA CURTIS
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Credential |
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Telephone | 651-470-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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