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General NPI Number Information
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NPI Number | 1457448615
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Entity Type | Organization
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Legal Business Name | REGENTS OF THE UNIVERSITY OF MINNESOTA
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 515 DELAWARE ST SE 7-530 MOOS TOWER
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0357
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Country | US
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Telephone | 612-626-6529
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Fax | 612-625-4610
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Provider Business Mailing Address
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Address Line | 515 DELAWARE ST SE 7-220 MOOS TOWER
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0357
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Country | US
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Telephone | 612-624-2424
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Fax | 612-625-4610
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Authorized Official
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Title or Position | DEAN, UOFMN SCHOOL OF DENTISTRY
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Name | KEITH MAYS
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Credential | DDS, MS, PHD
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Telephone | 612-624-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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