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General NPI Number Information
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NPI Number | 1801871934
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 4300 MARKETPOINTE DRIVE SUITE 100
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City | BLOOMINGTON
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State | MN
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Zip | 55435-5435
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Country | US
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Telephone | 952-835-9880
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Fax | 952-857-1554
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Provider Business Mailing Address
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Address Line | 4300 MARKETPOINTE DRIVE SUITE 100
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City | BLOOMINGTON
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State | MN
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Zip | 55435-5435
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Country | US
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Telephone | 952-835-9880
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Fax | 952-857-1554
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Authorized Official
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Title or Position | DIRECTOR, FINANCE
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Name | MS. KRISTI M RENNICH
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Credential |
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Telephone | 952-857-1501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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