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General NPI Number Information
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NPI Number | 1841518743
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Entity Type | Individual
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Provider Name | ELIZABETH MEDINA ALM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 2500 COMO AVE
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City | SAINT PAUL
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State | MN
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Zip | 55108-1460
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Country | US
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Telephone | 651-641-6200
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Fax | 651-641-6205
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Provider Business Mailing Address
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Address Line | 8170 33RD AVE S # MS 21110Q
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City | MINNEAPOLIS
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State | MN
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Zip | 55425-4516
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Country | US
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Telephone |
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 57505
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 57505
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License Number State | MN
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