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NPI 1730423336

NPI 1730423336 : FACE TO FACE ACADEMY : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1730423336
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    Entity Type          |    Organization 
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    Legal Business Name  |    FACE TO FACE ACADEMY 
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Dates
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    Enumeration Date     |    11/20/2012
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    Last Update Date     |    11/20/2012
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Provider Practice Location Address
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    Address Line         |    1165 ARCADE ST 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55106-2615
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    Country              |    US
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    Telephone            |    651-772-5544
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    Fax                  |    651-772-5621
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Provider Business Mailing Address
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    Address Line         |    1165 ARCADE ST 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55106-2615
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    Country              |    US
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    Telephone            |    651-772-5544
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    Fax                  |    651-772-5621
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. DARIUS  HUSAIN 
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    Credential           |    
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    Telephone            |    651-772-5554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    
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