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General NPI Number Information
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NPI Number | 1073745279
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH'S HOSPITAL AND HEALTH CENTER
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 45 8TH ST W
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City | DICKINSON
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State | ND
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Zip | 58601-3951
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Country | US
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Telephone | 701-456-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 45 8TH ST W
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City | DICKINSON
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State | ND
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Zip | 58601-3951
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Country | US
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Telephone | 701-456-4000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REED E REYMAN
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Credential |
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Telephone | 701-465-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 5054A
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License Number State | ND
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