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General NPI Number Information
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NPI Number | 1942846555
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Entity Type | Organization
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Legal Business Name | TOMORROW, LLC
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 725 CENTER AVE
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City | MOORHEAD
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State | MN
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Zip | 56560-1958
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Country | US
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Telephone | 218-287-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | PILLAGER
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State | MN
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Zip | 56473-0128
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Country | US
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Telephone | 507-720-7775
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARMEN MARIE WILSON
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Credential |
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Telephone | 75-720-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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