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General NPI Number Information
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NPI Number | 1063663607
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Entity Type | Organization
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Legal Business Name | ST ALEXIUS MEDICAL CENTER
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 900 E BROADWAY AVE
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City | BISMARCK
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State | ND
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Zip | 58501-4520
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Country | US
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Telephone | 701-530-4100
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Fax | 701-530-6891
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Provider Business Mailing Address
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Address Line | 900 E BROADWAY AVE
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City | BISMARCK
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State | ND
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Zip | 58501
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Country | US
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Telephone | 701-530-4100
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Fax | 701-530-6891
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Authorized Official
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Title or Position | CFO
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Name | AMBER STOWMAN
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Credential |
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Telephone | 701-530-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 190
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License Number State | ND
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