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General NPI Number Information
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NPI Number | 1720202757
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Entity Type | Individual
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Provider Name | DONNA CLAIRE BREZINKA MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6500 EXCELSIOR BLVD
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-4702
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Country | US
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Telephone | 952-993-7467
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Fax |
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Provider Business Mailing Address
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Address Line | 7038 UNION TERRACE LN N
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City | MAPLE GROVE
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State | MN
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Zip | 55369-5611
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Country | US
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Telephone | 763-424-6559
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5020
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License Number State | MN
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