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General NPI Number Information
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NPI Number | 1730450297
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Entity Type | Organization
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Legal Business Name | PRISCHMANN FACIAL PLASTIC SURGERY, PLLC
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Dates
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Enumeration Date | 01/15/2012
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 5201 EDEN AVE SUITE 170
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City | EDINA
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State | MN
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Zip | 55436-2316
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Country | US
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Telephone | 952-567-7151
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 EDEN AVE SUITE 170
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City | EDINA
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State | MN
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Zip | 55436-2316
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF MANAGER
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Name | DR. JASPREET PRISCHMANN
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Credential | MD
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Telephone | 952-567-7151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 48598
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License Number State | MN
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