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General NPI Number Information
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NPI Number | 1790918027
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Entity Type | Organization
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Legal Business Name | HENNEPIN COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 701 PARK AVE OCCUPATIONAL THERAPY DEPT B3
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1623
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Country | US
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Telephone | 612-873-4328
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Fax |
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Provider Business Mailing Address
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Address Line | 701 PARK AVE OCCUPATIONAL THERAPY DEPT B3
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1623
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Country | US
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Telephone | 612-873-4328
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Fax |
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Authorized Official
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Title or Position | SR OCCUPATIONAL THERAPIST
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Name | MS. ANN THERESE REGENSCHEID
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Credential | OTR/L
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Telephone | 612-873-4328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 101752
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License Number State | MN
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