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General NPI Number Information
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NPI Number | 1659218733
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Entity Type | Organization
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Legal Business Name | KAIZENRIDGE PARTNERS LLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 251 110TH AVE NW
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City | COON RAPIDS
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State | MN
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Zip | 55448-4435
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Country | US
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Telephone | 612-524-8103
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Fax |
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Provider Business Mailing Address
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Address Line | 725 LILIUM TRL
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City | MEDINA
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State | MN
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Zip | 55340-4442
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Country | US
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Telephone | 612-524-8103
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | ADELEYE OYEDEPO
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Credential |
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Telephone | 612-524-8103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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