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General NPI Number Information
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NPI Number | 1639410715
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Entity Type | Organization
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Legal Business Name | HEALTHPARTNERS HEALTH PROMOTION DEPARTMENT
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 8170 33RD AVE S MS 21111H
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4516
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Country | US
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Telephone | 952-967-6744
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Fax | 952-967-6710
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Provider Business Mailing Address
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Address Line | 8170 33RD AVE S MS 21111H
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4516
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Country | US
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Telephone | 952-967-6744
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Fax | 952-967-6710
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SHARON A STEIN
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Credential |
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Telephone | 952-967-6744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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