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NPI 1962388108

NPI 1962388108 : UMALKAYR NOUR : BROOKLYN CENTER, MN

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General NPI Number Information
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    NPI Number           |    1962388108
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    Entity Type          |    Individual 
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    Provider Name        |    UMALKAYR NOUR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2025
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    6160 SUMMIT DR N # 219 
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    City                 |    BROOKLYN CENTER
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    State                |    MN
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    Zip                  |    55430-2118
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    Country              |    US
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    Telephone            |    619-576-6887
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8608 TESSMAN CIR N 
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    City                 |    BROOKLYN PARK
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    State                |    MN
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    Zip                  |    55445-3101
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    Country              |    US
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    Telephone            |    612-499-4963
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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