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General NPI Number Information
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NPI Number | 1093910762
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF NORTH DAKOTA
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 290 CENTENNIAL DR MONTGOMERY HALL ROOM 101
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City | GRAND FORKS
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State | ND
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Zip | 58202-6063
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Country | US
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Telephone | 701-777-3727
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Fax |
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Provider Business Mailing Address
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Address Line | 290 CENTENNIAL DR STOP 8040
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City | GRAND FORKS
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State | ND
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Zip | 58202-8040
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Country | US
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Telephone | 701-777-3232
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Fax |
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Authorized Official
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Title or Position | DEPARTMENT CHAIR
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Name | DR. JOHN P MADDEN
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Credential | PH.D.
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Telephone | 701-777-3232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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