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General NPI Number Information
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NPI Number | 1649628561
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Entity Type | Organization
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Legal Business Name | TRANQUILITY HEALTH LLC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 6040 EARLE BROWN DR STE 250
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430
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Country | US
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Telephone | 651-387-6534
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 EARLE BROWN DR STE 250
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-2561
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Country | US
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Telephone | 651-387-6534
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MUSTAFE ARTAN
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Credential |
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Telephone | 612-426-1172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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