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General NPI Number Information
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NPI Number | 1467345025
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Entity Type | Organization
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Legal Business Name | ASTRA HEALTHCARE INC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 10 92ND AVE NE
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City | BLAINE
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State | MN
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Zip | 55434-1148
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Country | US
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Telephone | 651-398-5825
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Fax | 763-296-1841
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Provider Business Mailing Address
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Address Line | 5950 143RD CIR NW
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City | RAMSEY
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State | MN
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Zip | 55303-5617
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Country | US
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Telephone | 651-398-5825
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Fax | 763-296-1841
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DANIEL MENSAH
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Credential |
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Telephone | 651-398-5825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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