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General NPI Number Information
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NPI Number | 1588918049
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Entity Type | Organization
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Legal Business Name | MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 701 HEWITT BLVD SUITE 2116
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City | RED WING
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State | MN
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Zip | 55066
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Country | US
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Telephone | 651-267-5785
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Fax | 651-267-5985
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Provider Business Mailing Address
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Address Line | PO BOX 860135
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0135
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Country | US
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Telephone | 507-284-3390
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ANDREA SWANSON
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Credential | RPH
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Telephone | 507-538-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 263981
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License Number State | MN
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