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General NPI Number Information
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NPI Number | 1962833368
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Entity Type | Organization
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Legal Business Name | TARGET CORPORATION
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 2112 W PETERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-4277
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Country | US
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Telephone | 773-761-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 W PETERSON AVE
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City | CHICAGO
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State | IL
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Zip | 60659-4277
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Country | US
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Telephone | 773-761-3001
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE OFFICIAL
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Name | PAUL TEUFER
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Credential |
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Telephone | 612-761-5638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 209011031
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License Number State | IL
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