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General NPI Number Information
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NPI Number | 1477468445
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Entity Type | Organization
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Legal Business Name | KEYSTONE HEALTH CLINIC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 505 E GRANT ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-1411
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Country | US
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Telephone | 314-704-3933
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Fax | 763-358-9855
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Provider Business Mailing Address
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Address Line | 505 E GRANT ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-1411
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Country | US
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Telephone | 314-704-3933
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MS. SAREEDO A HASHI
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Credential | HASHI
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Telephone | 314-704-3933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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