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General NPI Number Information
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NPI Number | 1770173643
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Entity Type | Organization
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Legal Business Name | UPPER MIDWEST TMS LLC
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 5621 36TH AVE S UNIT 300
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City | FARGO
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State | ND
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Zip | 58104-5270
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Country | US
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Telephone | 701-532-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 5621 36TH AVE S UNIT 300
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City | FARGO
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State | ND
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Zip | 58104-5270
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Country | US
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Telephone | 701-371-5576
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOEL SCHOCK
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Credential | MD
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Telephone | 701-371-1072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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