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General NPI Number Information
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NPI Number | 1871179135
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Entity Type | Organization
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Legal Business Name | MAYO COLLABORATIVE SERVICES, INC
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 3050 SUPERIOR DR NW
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City | ROCHESTER
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State | MN
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Zip | 55905-1770
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Country | US
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Telephone | 800-447-6424
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4100
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City | ROCHESTER
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State | MN
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Zip | 55903-4100
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Country | US
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Telephone | 800-447-6424
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Fax |
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Authorized Official
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Title or Position | COO
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Name | BRIAN MEADE
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Credential |
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Telephone | 507-266-3081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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