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NPI 1699201541

NPI 1699201541 : MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH : CANNON FALLS, MN

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General NPI Number Information
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    NPI Number           |    1699201541
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH 
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Dates
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    Enumeration Date     |    05/11/2017
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    Last Update Date     |    08/11/2025
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Provider Practice Location Address
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    Address Line         |    32021 COUNTY 24 BLVD SUITE 1716
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    City                 |    CANNON FALLS
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    State                |    MN
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    Zip                  |    55009-5003
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    Country              |    US
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    Telephone            |    507-263-9825
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    Fax                  |    507-263-9657
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Provider Business Mailing Address
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    Address Line         |    PO BOX 083268 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60691-0268
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    Country              |    US
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    Telephone            |    507-284-8451
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MS. ANDREA  SWANSON 
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    Credential           |    RPH
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    Telephone            |    507-538-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0002X
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    Taxonomy Name        |    Clinic Pharmacy
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    License Number       |    
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    License Number State |    
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