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Contact Information

REDEFYNE
17025 COMMERCIAL PARK ROAD
SUITE 7
BRAINERD, MN56401
 Phone: 218-232-6971
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for REDEFYNE

NPI Number 1447996178
LBN Legal business name REDEFYNE
Authorized official ASHLEY ROBERTS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2022
Last updated 12/01/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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