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General NPI Number Information
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NPI Number | 1114094620
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Entity Type | Organization
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Legal Business Name | HEALTHPARTNERS RC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 100 HEALTHY WAY
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City | OLIVIA
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State | MN
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Zip | 56277-1117
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Country | US
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Telephone | 320-523-1261
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Fax | 320-523-3458
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Provider Business Mailing Address
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Address Line | 100 HEALTHY WAY
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City | OLIVIA
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State | MN
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Zip | 56277-1117
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Country | US
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Telephone | 320-523-1261
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Fax | 320-523-8349
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATHAN BLAD
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Credential |
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Telephone | 320-523-3575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 331046
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 331046
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License Number State | MN
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