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General NPI Number Information
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NPI Number | 1801936083
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Entity Type | Individual
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Provider Name | NORA DAHLGREN PT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 640 JACKSON ST
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City | SAINT PAUL
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State | MN
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Zip | 55101-2502
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Country | US
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Telephone | 651-254-2071
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Fax |
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Provider Business Mailing Address
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Address Line | 5010 NOKOMIS AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-1438
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Country | US
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Telephone | 612-722-2995
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1627
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License Number State | MN
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