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General NPI Number Information
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NPI Number | 1053346825
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Entity Type | Organization
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Legal Business Name | SAINT ELIZABETHS HOSPITAL OF WABASHA INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 1200 GRANT BLVD W
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City | WABASHA
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State | MN
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Zip | 55981-1042
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Country | US
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Telephone | 651-565-4531
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Fax | 651-565-2482
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Provider Business Mailing Address
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Address Line | 1200 GRANT BLVD W
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City | WABASHA
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State | MN
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Zip | 55981-1042
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Country | US
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Telephone | 651-565-4531
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Fax | 651-565-2482
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Authorized Official
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Title or Position | CFO
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Name | MR. JOHN K WOLFE
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Credential |
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Telephone | 651-565-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 330554
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License Number State | MN
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