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General NPI Number Information
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NPI Number | 1740939149
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Entity Type | Organization
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Legal Business Name | FAIRVIEW HEALTH SERVICES
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 7505 METRO BLVD STE 100
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City | EDINA
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State | MN
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Zip | 55439-3017
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Country | US
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Telephone | 952-914-1720
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 UNIVERSITY AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55104-3727
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Country | US
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Telephone | 612-672-6740
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Fax | 612-884-3592
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Authorized Official
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Title or Position | SYS DIR GOVT REIMB & NETWK REL
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Name | MAUREEN V RING
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Credential |
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Telephone | 612-672-6740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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