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General NPI Number Information
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NPI Number | 1679885164
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Entity Type | Organization
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Legal Business Name | HARRINGTON PLASTIC SURGERY, PA
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 7373 FRANCE AVE S 510
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City | EDINA
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State | MN
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Zip | 55435-4534
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Country | US
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Telephone | 651-290-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 7373 FRANCE AVE S 510
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City | EDINA
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State | MN
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Zip | 55435-4534
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Country | US
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Telephone | 651-290-7600
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. KATHY KAYE MATSON
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Credential |
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Telephone | 651-290-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 37988
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License Number State | MN
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