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General NPI Number Information
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NPI Number | 1992869820
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Entity Type | Organization
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Legal Business Name | CITY OF BLOOMINGTON
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 1900 W OLD SHAKOPEE RD
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City | BLOOMINGTON
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State | MN
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Zip | 55431-3029
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Country | US
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Telephone | 952-563-8900
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Fax | 952-563-8997
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Provider Business Mailing Address
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Address Line | 1800 W OLD SHAKOPEE RD
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City | BLOOMINGTON
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State | MN
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Zip | 55431-3071
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Country | US
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Telephone | 952-563-8700
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Fax | 952-563-8997
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Authorized Official
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Title or Position | HEALTH ADMINISTRATOR
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Name | MRS. BONNIE PAULSEN
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Credential | DNP, MSN, PHN
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Telephone | 952-563-8905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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