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General NPI Number Information
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NPI Number | 1538254289
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Entity Type | Organization
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Legal Business Name | ENDOCRINE & DIABETES ASSOCIATES, P.A.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | 710 E 24TH ST SUITE 405
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-3840
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Country | US
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Telephone | 612-336-5000
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Fax | 612-775-9800
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Provider Business Mailing Address
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Address Line | 710 E.24TH ST. SUITE 405
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-3840
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Country | US
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Telephone | 612-336-5000
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Fax | 612-775-9800
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE MULMED
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Credential | MD FACE
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Telephone | 612-336-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 20522
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License Number State | MN
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