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General NPI Number Information
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NPI Number | 1568054567
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Entity Type | Organization
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Legal Business Name | CALLA HEALTH LLC
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 13111 APRIL LN
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City | MINNETONKA
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State | MN
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Zip | 55305-2735
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Country | US
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Telephone | 612-741-3704
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Fax | 763-645-8697
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Provider Business Mailing Address
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Address Line | 13111 APRIL LN
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City | MINNETONKA
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State | MN
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Zip | 55305-2735
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Country | US
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Telephone | 612-385-4679
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Fax | 763-645-8697
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANN GERSHONE
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Credential | PMHNP-BC
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Telephone | 612-741-3704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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