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General NPI Number Information
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NPI Number | 1356639058
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Entity Type | Organization
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Legal Business Name | LIFEVIEW CARE,PLLC
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 3600 AMERICAN BLVD W SUITE 225
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City | BLOOMINGTON
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State | MN
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Zip | 55431-1079
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Country | US
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Telephone | 952-500-3337
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Fax | 855-715-1907
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Provider Business Mailing Address
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Address Line | 3600 AMERICAN BLVD W SUITE 225
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City | BLOOMINGTON
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State | MN
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Zip | 55431-1079
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Country | US
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Telephone | 952-500-3337
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Fax | 855-715-1907
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. THOMAS HARMAN
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Credential | M.D.
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Telephone | 952-426-6427
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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 | 1809
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License Number State | MN
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