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General NPI Number Information
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NPI Number | 1053334847
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Entity Type | Organization
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Legal Business Name | ST JOSEPHS HOSPITAL & HEALTH CENTER
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 7TH ST W
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City | DICKINSON
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State | ND
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Zip | 58601-4335
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Country | US
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Telephone | 701-456-4308
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Fax | 701-456-4804
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Provider Business Mailing Address
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Address Line | 30 7TH ST W
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City | DICKINSON
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State | ND
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Zip | 58601-4335
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Country | US
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Telephone | 701-456-4308
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Fax | 701-456-4804
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Authorized Official
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Title or Position | INTERIM CEO
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Name | APRIL BISHOP
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Credential |
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Telephone | 701-456-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5054A
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License Number State | ND
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