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General NPI Number Information
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NPI Number | 1386752863
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Entity Type | Individual
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Provider Name | TWILA B GERMANSON MD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 13911 RIDGEDALE DR., STE 320
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City | MINNETONKA
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State | MN
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Zip | 55305
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Country | US
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Telephone | 952-956-4057
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Fax | 952-333-8196
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Provider Business Mailing Address
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Address Line | 1161 WAYZATA BLVD E # 228
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City | WAYZATA
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State | MN
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Zip | 55391-1935
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Country | US
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Telephone | 952-956-4057
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Fax | 952-333-8196
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 43294
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License Number State | MN
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