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General NPI Number Information
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NPI Number | 1992769533
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Entity Type | Organization
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Legal Business Name | ENDOCRINOLOGY CLINIC OF MINNEAPOLIS PA
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 7701 YORK AVE S SUITE 180
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City | EDINA
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State | MN
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Zip | 55435-5845
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Country | US
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Telephone | 952-927-7810
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Fax | 952-927-6309
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Provider Business Mailing Address
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Address Line | 7701 YORK AVE S SUITE 180
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City | EDINA
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State | MN
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Zip | 55435-5845
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Country | US
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Telephone | 952-927-7810
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Fax | 952-927-6309
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. J JEFFREY RUEGEMER
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Credential | MD
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Telephone | 952-927-7810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1261
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License Number State | MN
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