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General NPI Number Information
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NPI Number | 1952299083
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Entity Type | Organization
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Legal Business Name | NEXTPATH BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1330 LAGOON AVE FL 4
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2885
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Country | US
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Telephone | 612-459-7771
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Fax | 952-243-0333
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Provider Business Mailing Address
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Address Line | 1330 LAGOON AVE FL 4
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2885
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Country | US
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Telephone | 612-459-7771
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Fax | 952-243-0333
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Authorized Official
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Title or Position | OWNER
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Name | DAGAN ABDULLAHI
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Credential |
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Telephone | 612-913-0874
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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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