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General NPI Number Information
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NPI Number | 1023720901
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Entity Type | Organization
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Legal Business Name | VALLEY MARKETS, INCORPORATED
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 300 1ST ST WEST
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City | FOSSTON
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State | MN
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Zip | 56542
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Country | US
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Telephone | 218-435-1000
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Fax | 218-435-1100
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Provider Business Mailing Address
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Address Line | 300 1ST ST WEST
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City | FOSSTON
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State | MN
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Zip | 56542
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Country | US
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Telephone | 218-435-1000
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Fax | 218-435-1100
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | KRISTI MAGNUSON NELSON
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Credential |
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Telephone | 701-738-2953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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