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General NPI Number Information
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NPI Number | 1407887987
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Entity Type | Organization
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Legal Business Name | FIRSTSOLUTIONS
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 99 EDISON BLVD SUITE L
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City | SILVER BAY
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State | MN
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Zip | 55614-1211
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Country | US
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Telephone | 218-226-3829
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Fax | 218-226-3860
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Provider Business Mailing Address
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Address Line | 99 EDISON BLVD SUITE L
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City | SILVER BAY
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State | MN
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Zip | 55614-1211
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Country | US
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Telephone | 218-226-3829
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Fax | 218-226-3860
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Authorized Official
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Title or Position | CEO
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Name | MR. TERRY R JACOBSON
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Credential |
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Telephone | 218-740-2330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 260984-9
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License Number State | MN
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