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General NPI Number Information
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NPI Number | 1538049648
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Entity Type | Individual
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Provider Name | MUSTAFE ARTAN MBA
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Gender | Male
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1601 HIGHWAY 13 E STE 204
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City | BURNSVILLE
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State | MN
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Zip | 55337-6848
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Country | US
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Telephone | 952-209-5557
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Fax | 612-314-8306
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Provider Business Mailing Address
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Address Line | 1601 HIGHWAY 13 E STE 204
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City | BURNSVILLE
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State | MN
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Zip | 55337-6848
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Country | US
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Telephone | 612-426-1172
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MN
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