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General NPI Number Information
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NPI Number | 1477598118
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MINNESOTA PHYSICIANS
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 720 WASHINGTON AVE SE STE 200
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-2924
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Country | US
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Telephone | 612-672-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 720 WASHINGTON AVE SE STE 200
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-2924
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Country | US
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Telephone | 612-884-0600
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | WILLIAM SIBERT
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Credential |
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Telephone | 612-884-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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