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NPI Verification

National Provider Identifier: 1538661384

Community Uplift Program

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

417 MAIN AVE STE 401

FARGO, ND 581031956

Phone: 701-799-7314

NPI Enumeration Date

March 7, 2018

NPI Number

1538661384

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry