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General NPI Number Information
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NPI Number | 1861990459
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Entity Type | Organization
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Legal Business Name | BUILDING FAMILY FOUNDATION
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 8030 OLD CEDAR AVE S STE 110
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1214
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Country | US
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Telephone | 952-454-0421
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 CLIFF RD E APT 128
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City | BURNSVILLE
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State | MN
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Zip | 55337-1332
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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 | CEO
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Name | FARDOWSA ALI
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Credential |
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Telephone | 952-454-0421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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