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General NPI Number Information
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NPI Number | 1104351162
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Entity Type | Organization
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Legal Business Name | CITY OF KIESTER
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 116 N MAIN STREET
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City | KIESTER
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State | MN
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Zip | 56051
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Country | US
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Telephone | 507-294-3161
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Fax | 507-294-3960
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Provider Business Mailing Address
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Address Line | PO BOX 276 116 N MAIN STREET
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City | KIESTER
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State | MN
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Zip | 56051
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Country | US
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Telephone | 507-294-3161
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Fax | 507-294-3960
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Authorized Official
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Title or Position | CLERK
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Name | DORIS MARIE TROLL
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Credential |
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Telephone | 507-294-3161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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