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General NPI Number Information
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NPI Number | 1932821477
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Entity Type | Organization
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Legal Business Name | AUTISM INSTITUTE OF MINNESOTA LLP
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1973 SLOAN PL STE 100
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City | MAPLEWOOD
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State | MN
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Zip | 55117-2085
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Country | US
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Telephone | 651-797-4821
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Fax | 651-369-9887
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Provider Business Mailing Address
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Address Line | 1973 SLOAN PL STE 100
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City | MAPLEWOOD
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State | MN
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Zip | 55117-2085
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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 | DIRECTOR
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Name | MR. K WA
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Credential |
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Telephone | 651-797-4821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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