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General NPI Number Information
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NPI Number | 1508638511
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Entity Type | Organization
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Legal Business Name | ASLAN HEALTH, PC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1400 W SAINT GERMAIN ST
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City | SAINT CLOUD
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State | MN
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Zip | 56301-4101
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Country | US
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Telephone | 320-428-5697
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 W SAINT GERMAIN ST
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City | SAINT CLOUD
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State | MN
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Zip | 56301-4101
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Country | US
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Telephone | 320-429-5697
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Fax |
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Authorized Official
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Title or Position | BOARD CHAIR
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Name | CLAYTON MALLERY WHITE
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Credential |
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Telephone | 320-297-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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