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General NPI Number Information
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NPI Number | 1568511970
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Entity Type | Individual
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Provider Name | ALAN H CHERKASKY MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 600 W 98TH ST
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City | BLOOMINGTON
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State | MN
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Zip | 55420-4773
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Country | US
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Telephone | 952-885-6150
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Fax |
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Provider Business Mailing Address
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Address Line | 8170 33RD AVE S MS21110Q
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City | BLOOMINGTON
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State | MN
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Zip | 55425
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 61268
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22100
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License Number State | WI
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