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NPI 1811922677

NPI 1811922677 : PAUL TREINEN P.T. : ORTONVILLE, MN

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General NPI Number Information
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    NPI Number           |    1811922677
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL TREINEN P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    03/25/2010
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Provider Practice Location Address
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    Address Line         |    820 ROY ST 
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    City                 |    ORTONVILLE
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    State                |    MN
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    Zip                  |    56278-1138
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    Country              |    US
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    Telephone            |    320-839-4271
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    Fax                  |    320-839-4196
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Provider Business Mailing Address
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    Address Line         |    820 ROY ST 
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    City                 |    ORTONVILLE
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    State                |    MN
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    Zip                  |    56278-1138
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    Country              |    US
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    Telephone            |    320-839-4271
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    Fax                  |    320-839-4196
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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       |    4321
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    0382
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    License Number State |    SD
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