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General NPI Number Information
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NPI Number | 1871653212
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Entity Type | Individual
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Provider Name | BRETT ARTHUR KNUTSON DDS
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 3161 NORTHDALE BLVD NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-1825
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Country | US
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Telephone | 763-210-7096
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 COUNTY ROAD C W STE 2210
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City | ROSEVILLE
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State | MN
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Zip | 55113-2551
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Country | US
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Telephone | 612-270-7000
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D11919
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License Number State | MN
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