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General NPI Number Information
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NPI Number | 1740708411
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Entity Type | Organization
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Legal Business Name | AIM-AXNESS INTEGRATIVE MEDICINE, PLLC
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Dates
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Enumeration Date | 09/01/2017
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Last Update Date | 09/01/2017
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Provider Practice Location Address
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Address Line | 7350 CLEARWATER RD
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City | BAXTER
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State | MN
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Zip | 56425-8463
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Country | US
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Telephone | 218-454-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 7350 CLEARWATER RD
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City | BAXTER
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State | MN
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Zip | 56425-8463
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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 | ARIK AXNESS
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Credential |
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Telephone | 218-454-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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