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General NPI Number Information
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NPI Number | 1770478752
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Entity Type | Individual
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Provider Name | SHIMRIT NAOMI KATE CASSUTO DDS
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 8454 HIGHWAY 7
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-3900
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Country | US
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Telephone | 651-461-9619
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Fax | 952-933-3732
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Provider Business Mailing Address
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Address Line | 4400 MINNETONKA BLVD APT 19
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-4077
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Country | US
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Telephone | 612-296-0472
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D15273
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License Number State | MN
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