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General NPI Number Information
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NPI Number | 1588122063
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Entity Type | Organization
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Legal Business Name | TURNAGE THERAPEUTIC SERVICES INC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 200 HOPKINS XRD
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City | MINNETONKA
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State | MN
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Zip | 55305-1461
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Country | US
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Telephone | 612-283-3617
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Fax | 612-314-8633
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Provider Business Mailing Address
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Address Line | 200 HOPKINS XRD
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City | MINNETONKA
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State | MN
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Zip | 55305-1461
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Country | US
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Telephone | 612-283-3617
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEMETRIA TURNAGE
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Credential |
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Telephone | 612-283-3617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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