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General NPI Number Information
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NPI Number | 1487319257
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Entity Type | Organization
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Legal Business Name | CENTRAL MINNESOTA SOLUTIONS
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 570 1ST ST SE
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City | SAINT CLOUD
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State | MN
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Zip | 56304-0800
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Country | US
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Telephone | 218-443-3490
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Fax | 320-217-2107
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Provider Business Mailing Address
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Address Line | PO BOX 1963
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City | SAINT CLOUD
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State | MN
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Zip | 56302-1963
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Country | US
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Telephone | 218-443-3490
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Fax | 320-217-2107
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Authorized Official
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Title or Position | CEO
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Name | ABDI HUSSEIN AHMED
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Credential |
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Telephone | 218-443-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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