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General NPI Number Information
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NPI Number | 1013277789
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Entity Type | Organization
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Legal Business Name | OLMSTED MEDICAL CENTER
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 318 1ST AVE SW SUITE 203
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City | ROCHESTER
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State | MN
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Zip | 55902-3310
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Country | US
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Telephone | 507-529-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 201 9TH ST SE
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City | ROCHESTER
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State | MN
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Zip | 55904-6768
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Country | US
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Telephone | 507-592-6616
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | KEVIN HIGGINS
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Credential |
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Telephone | 507-529-6619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | MN
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