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General NPI Number Information
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NPI Number | 1629193446
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Entity Type | Organization
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Legal Business Name | METROPOLITAN INTERNISTS, PA
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 825 S 8TH ST SUITE #600 PARKSIDE PROF BLDG
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-1208
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Country | US
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Telephone | 612-339-7171
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Fax | 612-339-2885
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Provider Business Mailing Address
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Address Line | 825 S 8TH ST SUITE #600 PARKSIDE PROF BLDG
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-1208
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Country | US
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Telephone | 612-339-7171
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Fax | 612-339-2885
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Authorized Official
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Title or Position | MANAGER ADMINISTRATOR
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Name | MRS. DAWN E MEYERS
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Credential |
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Telephone | 612-339-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number |
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License Number State | MN
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