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General NPI Number Information
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NPI Number | 1053936583
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Entity Type | Organization
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Legal Business Name | ALTRU HEALTH SYSTEM
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 1006 GREENWOOD ST E
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701-4120
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Country | US
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Telephone | 218-681-1685
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13780
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City | GRAND FORKS
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State | ND
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Zip | 58208-3780
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DOUGLAS ARVIN
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Credential |
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Telephone | 701-780-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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