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General NPI Number Information
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NPI Number | 1467339622
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Entity Type | Organization
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Legal Business Name | UNITED FAMILY PRACTICE HEALTH CENTER
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1897 DELAWARE AVE
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City | SAINT PAUL
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State | MN
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Zip | 55118-4338
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Country | US
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Telephone | 651-758-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 1026 7TH ST W
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City | SAINT PAUL
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State | MN
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Zip | 55102-3828
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Country | US
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Telephone | 651-758-9500
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | LORI ANN ZOOK
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Credential |
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Telephone | 651-758-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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