Abirisak Duale

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

C863-027-323-317 Issued in MN

Practice address

1401 Central Ave NW Apt 1
East Grand Forks, MN 56721-1613

Phone

(701) 314-3499

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Americans Integration Center

  • Community/Behavioral Health Agency
  • Grand Forks, ND
  • NPI 1932003118
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1669376844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTRAL AVE NW APT 1",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211613",
            "telephone_number": "701-314-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTRAL AVE NW APT 1",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211613",
            "telephone_number": "701-314-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUALE",
        "first_name": "ABIRISAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": "C863-027-323-317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gena Cornelius
• Farah Mohamed Dahir
• Demers Dental
• Dental GT
• Douglas Place Treatment Center LLC (Eosis Northern Plains)
• Kathleen Rand Dunn, RN
• East Grand Forks Dental Care
• Lindsey Marie Ebertowski, PT
• Edgewood Vista
• Terra Nicole Edwards, APRN, PMHNP-BC

• Case Manager/Care Coordinator in East Grand Forks, MN
• Providers in East Grand Forks, MN by specialty
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.