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General NPI Number Information
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NPI Number | 1588522668
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Entity Type | Organization
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Legal Business Name | CHILDREN'S CLINIC NETWORK
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 8500 EDINBROOK PKWY
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-3720
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Country | US
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Telephone | 763-425-1211
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Fax | 612-874-2907
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Provider Business Mailing Address
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Address Line | 5901 LINCOLN DR
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City | EDINA
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State | MN
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Zip | 55436-1611
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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 | VP PAYER STRATEGY & ANALYTICS
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Name | REBECCA ANN WOITALEWICZ
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Credential |
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Telephone | 612-207-5471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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