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General NPI Number Information
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NPI Number | 1407919210
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Entity Type | Organization
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Legal Business Name | ACHIEVE THERAPY LLC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1421 CENTRAL AVE NW
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City | EAST GRAND FORKS
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State | MN
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Zip | 56721-1617
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Country | US
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Telephone | 218-773-3388
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Fax | 218-773-6611
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Provider Business Mailing Address
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Address Line | 1425 S COLUMBIA RD
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City | GRAND FORKS
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State | ND
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Zip | 58201-4039
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Country | US
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Telephone | 701-746-8374
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Fax | 701-780-0885
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Authorized Official
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Title or Position | OWNER, OFFICE MANAGER
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Name | MICHELLE D JENSON
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Credential | ATC, PTA
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Telephone | 701-746-8374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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