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NPI 1912949512

NPI 1912949512 : HEALTH PARTNERS HLTH CTR FOR WOMEN : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1912949512
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH PARTNERS HLTH CTR FOR WOMEN 
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Dates
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    Enumeration Date     |    06/11/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2635 UNIVERSITY AVE W 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55114-1271
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    Country              |    US
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    Telephone            |    651-254-2992
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    Fax                  |    651-254-2977
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Provider Business Mailing Address
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    Address Line         |    2635 UNIVERSITY AVE W 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55114-1271
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    REGIONAL MANAGER
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    Name                 |     CHRIS  BOLTON 
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    Credential           |    
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    Telephone            |    651-641-3156
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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       |    2624976
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    3336C0002X
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    Taxonomy Name        |    Clinic Pharmacy
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    License Number       |    
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    License Number State |    
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