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General NPI Number Information
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NPI Number | 1851456099
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Entity Type | Organization
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Legal Business Name | OUTCOMES, INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 531 SPRINGHILL RD
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-8529
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Country | US
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Telephone | 651-429-5686
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Fax | 651-483-0775
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Provider Business Mailing Address
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Address Line | 3508 RICE ST
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City | SAINT PAUL
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State | MN
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Zip | 55126-3170
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Country | US
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Telephone | 651-483-9500
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Fax | 651-483-0775
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SUSAN NORTON
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Credential |
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Telephone | 651-483-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 8045791RS
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License Number State | MN
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