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General NPI Number Information
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NPI Number | 1073687075
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Entity Type | Organization
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Legal Business Name | WRIGHT COUNTY
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1004 COMMERCIAL DR
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City | BUFFALO
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State | MN
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Zip | 55313-1736
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Country | US
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Telephone | 763-682-7400
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Fax | 763-682-7701
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Provider Business Mailing Address
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Address Line | 3650 BRADDOCK AVE NE STE 2100
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City | BUFFALO
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State | MN
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Zip | 55313-3675
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Country | US
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Telephone | 763-682-7400
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Fax | 763-682-7701
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Authorized Official
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Title or Position | DIRECTOR, HEALTH AND HUMAN SERVICES
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Name | JAMI KAY GOODRUM
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Credential |
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Telephone | 763-682-7411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | MN
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