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General NPI Number Information
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NPI Number | 1366221491
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Entity Type | Organization
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Legal Business Name | ALLINA HEALTH SYSTEM
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 280 SMITH AVE N STE 600
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City | SAINT PAUL
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State | MN
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Zip | 55102-2446
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Country | US
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Telephone | 651-430-3827
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 CHICAGO AVE MR 10585
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1321
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Country | US
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Telephone | 612-262-9000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JILL OSTREM
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Credential |
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Telephone | 651-241-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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