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General NPI Number Information
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NPI Number | 1871294538
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Entity Type | Organization
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Legal Business Name | PINK SKIES CORPORATION
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Dates
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Enumeration Date | 03/10/2023
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 17761 KENWOOD TRL
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City | LAKEVILLE
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State | MN
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Zip | 55044-5504
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Country | US
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Telephone | 612-203-9115
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Fax |
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Provider Business Mailing Address
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Address Line | 10541 NESBITT AVE S
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City | BLOOMINGTON
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State | MN
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Zip | 55437-2714
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Country | US
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Telephone | 612-203-9115
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOIY NGUYEN
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Credential |
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Telephone | 612-203-9115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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