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General NPI Number Information
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NPI Number | 1609780832
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Entity Type | Organization
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Legal Business Name | VIVIE HEALTH
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 4403 PIONEER RD SE
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City | ALEXANDRIA
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State | MN
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Zip | 56308-9219
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Country | US
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Telephone | 320-763-1164
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Fax |
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Provider Business Mailing Address
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Address Line | 2209 JEFFERSON ST STE 201
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City | ALEXANDRIA
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State | MN
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Zip | 56308-2848
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Country | US
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Telephone | 320-763-1164
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MARNIE GUGISBERG
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Credential |
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Telephone | 320-763-1164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State | NULL
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