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General NPI Number Information
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NPI Number | 1376507061
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Entity Type | Organization
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Legal Business Name | ANODYNE, INC.
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 6024 BLUE CIRCLE DR
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City | MINNETONKA
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State | MN
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Zip | 55343-9104
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Country | US
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Telephone | 952-546-5334
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Fax | 952-546-2657
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Provider Business Mailing Address
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Address Line | 6024 BLUE CIRCLE DR
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City | MINNETONKA
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State | MN
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Zip | 55343-9104
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Country | US
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Telephone | 952-546-5334
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Fax | 952-546-2657
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. WILLIAM JOSEPH MARZOLF JR.
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Credential |
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Telephone | 952-546-5334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | MN
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