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General NPI Number Information
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NPI Number | 1851273320
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Entity Type | Organization
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Legal Business Name | EVERWELL PRIMARY CARE PLLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1099 HELMO AVE N STE 225
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City | OAKDALE
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State | MN
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Zip | 55128-6033
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Country | US
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Telephone | 651-300-7823
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Fax | 651-382-0800
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Provider Business Mailing Address
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Address Line | 1099 HELMO AVE N STE 225
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City | OAKDALE
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State | MN
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Zip | 55128-6033
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Country | US
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Telephone | 651-300-7823
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Fax | 651-382-0800
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. RYAN DICK
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Credential | MD
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Telephone | 651-235-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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