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General NPI Number Information
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NPI Number | 1790764017
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 1212 7TH ST NW
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City | ROCHESTER
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State | MN
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Zip | 55901-1733
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Country | US
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Telephone | 507-288-5186
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64393
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City | SAINT PAUL
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State | MN
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Zip | 55164-0393
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Country | US
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Telephone | 651-696-5676
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, REVENUE MANAGEMENT
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Name | NICOLE C MARTINSON
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Credential |
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Telephone | 651-696-5676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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