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General NPI Number Information
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NPI Number | 1487439568
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Entity Type | Individual
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Provider Name | HELENE E PIPPIN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 5201 EDEN AVE STE 150
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City | EDINA
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State | MN
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Zip | 55436-2359
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Country | US
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Telephone | 952-300-2151
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 EDEN AVE STE 150
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City | MINNEAPOLIS
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State | MN
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Zip | 55436-2359
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901005730
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3919
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License Number State | MN
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