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General NPI Number Information
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NPI Number | 1669214920
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Entity Type | Organization
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Legal Business Name | A HEALTHIER DEMOCRACY
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 06/08/2024
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Provider Practice Location Address
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Address Line | 12 MOHAWK ST UNIT 9
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City | BOSTON
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State | MA
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Zip | 02127-3594
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Country | US
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Telephone | 848-218-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 3112 HOLMES AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2629
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Country | US
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Telephone | 857-205-5849
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | BENJAMIN RUXIN
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Credential | MBA
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Telephone | 857-205-5849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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