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General NPI Number Information
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NPI Number | 1437758471
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Entity Type | Organization
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Legal Business Name | HPM OF MINNESOTA PLLC
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 49725 CO RD 83
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City | STAPLES
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State | MN
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Zip | 56479
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Country | US
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Telephone | 218-894-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 3780 N GARFIELD AVE STE 101
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City | LOVELAND
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State | CO
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Zip | 80538-2237
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | AMANDA BISBY
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Credential |
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Telephone | 307-250-4953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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