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General NPI Number Information
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NPI Number | 1730162371
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Entity Type | Organization
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Legal Business Name | NORTHEAST PEDIATRIC CLINIC P.A.
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4520 CENTERVILLE RD
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-3602
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Country | US
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Telephone | 651-426-1141
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Fax | 651-426-1705
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Provider Business Mailing Address
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Address Line | 4520 CENTERVILLE RD
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-3602
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Country | US
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Telephone | 651-426-1141
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Fax | 651-426-1705
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Authorized Official
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Title or Position | CEO
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Name | DR. MARY ANN LEUKUMA
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Credential | M.D.
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Telephone | 651-426-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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