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General NPI Number Information
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NPI Number | 1689804064
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Entity Type | Organization
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Legal Business Name | GROUP HEALTH PLAN, INC.
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 537 PHALEN BLVD
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City | SAINT PAUL
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State | MN
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Zip | 55130
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Country | US
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Telephone | 651-254-6600
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Fax | 952-853-8741
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Provider Business Mailing Address
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Address Line | 537 PHALEN BLVD
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City | SAINT PAUL
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State | MN
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Zip | 55130-5303
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Country | US
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Telephone | 651-254-6600
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Fax | 952-853-8741
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Authorized Official
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Title or Position | DIRECTOR
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Name | LISA L BJORKMAN
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Credential |
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Telephone | 952-883-7469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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