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NPI Code Detail

MEDICARE: MAGGIE PATEL

MEDICARE: MAGGIE PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1932655289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE PATEL
Provider Business Mailing Address
First Line : PO BOX 13054
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-5054
Country : US
Telephone Number : 612-208-2993
Fax Number : 951-556-6653
Provider Business Practice Location Address
First Line : 202 N CEDAR AVE STE 1
Second Line :
City : OWATONNA
State : MN
Zip : 55060-2306
Country : US
Telephone Number : 612-208-2993
Fax Number : 951-556-6653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 12/04/2025

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Directions to “ MAGGIE PATEL ” Practice Location

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