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General NPI Number Information
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NPI Number | 1891663787
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Entity Type | Organization
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Legal Business Name | OPEN CITIES HEALTH CENTER, INC.
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 409 DUNLAP ST N
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City | SAINT PAUL
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State | MN
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Zip | 55104-4201
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Country | US
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Telephone | 651-290-9200
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Fax | 651-251-5950
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Provider Business Mailing Address
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Address Line | 409 DUNLAP ST N
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City | SAINT PAUL
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State | MN
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Zip | 55104-4201
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Country | US
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Telephone | 651-290-9200
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Fax | 651-251-5950
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | STACY FERDERER
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Credential | PHARMD
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Telephone | 651-290-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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