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General NPI Number Information
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NPI Number | 1740061985
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Entity Type | Organization
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Legal Business Name | TNT WELLNESS CENTER
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2136 FORD PKWY
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City | SAINT PAUL
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State | MN
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Zip | 55116-2850
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Country | US
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Telephone | 702-900-8832
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Fax |
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Provider Business Mailing Address
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Address Line | 2669 COON RAPIDS BLVD NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-0001
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Country | US
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Telephone | 612-388-7488
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Fax |
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Authorized Official
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Title or Position | CHIEF INTEL OFFICER
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Name | JULIOUS HEATH
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Credential |
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Telephone | 702-900-8832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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