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General NPI Number Information
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NPI Number | 1790428613
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Entity Type | Individual
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Provider Name | AARON ROSENBLUM MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2270 FORD PKWY STE 200
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City | SAINT PAUL
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State | MN
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Zip | 55116-3412
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Country | US
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Telephone | 855-324-7843
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 LONGFELLOW AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-2922
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 75003
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License Number State | MN
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