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General NPI Number Information
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NPI Number | 1366006975
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Entity Type | Organization
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Legal Business Name | ACTION FOR EAST AFRICAN PEOPLE AFEAP
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 10584 FRANCE AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55431-3538
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Country | US
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Telephone | 611-458-6830
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Fax |
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Provider Business Mailing Address
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Address Line | 10584 FRANCE AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55431-3538
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Country | US
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Telephone | 611-458-6830
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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 | AYAN ABUKAR
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Credential |
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Telephone | 612-458-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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