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General NPI Number Information
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NPI Number | 1568543601
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Entity Type | Organization
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Legal Business Name | COMMUNITY DRUG & ALCOHOL SERVICES INC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 2675 LONG LAKE RD STE 125
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City | ROSEVILLE
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State | MN
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Zip | 55113-2823
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Country | US
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Telephone | 952-564-3000
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Fax | 651-925-0256
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Provider Business Mailing Address
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Address Line | 151 W BURNSVILLE PKWY STE 100
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City | BURNSVILLE
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State | MN
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Zip | 55337-2525
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Country | US
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Telephone | 952-564-3000
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Fax | 952-564-3031
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MS. PATRICIA PATCHE
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Credential | MA
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Telephone | 952-564-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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