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General NPI Number Information
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NPI Number | 1760597371
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Entity Type | Individual
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Provider Name | JEFFREY R VRUDNY PT
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8559 EDINBROOK PKWY #104
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-3747
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Country | US
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Telephone | 763-425-5461
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Fax |
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Provider Business Mailing Address
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Address Line | 5924 WASHBURN AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55410-2847
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6257
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License Number State | MN
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