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General NPI Number Information
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NPI Number | 1750188488
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 6110 GOLDEN HILLS DR
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City | GOLDEN VALLEY
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State | MN
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Zip | 55416-1020
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Country | US
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Telephone | 952-835-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 MARKET PTE DR STE 100
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City | BLOOMINGTON
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State | MN
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Zip | 55435-5435
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Country | US
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Telephone | 952-857-1501
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | MS. KRISTY GRUNDER
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Credential |
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Telephone | 952-857-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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