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General NPI Number Information
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NPI Number | 1871420240
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Entity Type | Individual
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Provider Name | ANNA RUTLEDGE CORDIE
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Gender | Female
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 246 11TH AVE SW
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City | FOREST LAKE
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State | MN
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Zip | 55025
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Country | US
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Telephone | 651-252-6729
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Fax |
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Provider Business Mailing Address
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Address Line | 201 RIVER LANE CT
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City | BROOKLYN PARK
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State | MN
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Zip | 55444-2222
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Country | US
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Telephone | 507-269-6343
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 493216
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License Number State | MN
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