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General NPI Number Information
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NPI Number | 1124184023
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Entity Type | Organization
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Legal Business Name | HILLS-BEAVER CREEK ISD 671
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 301 N SUMMIT AVE
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City | HILLS
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State | MN
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Zip | 56138-0547
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Country | US
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Telephone | 507-962-3240
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Fax |
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Provider Business Mailing Address
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Address Line | 301 N SUMMIT AVE. PO BOX 547
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City | HILLS
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State | MN
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Zip | 56138-1080
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Country | US
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Telephone | 507-962-3240
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Fax | 507-962-3238
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | GLENDA JOANN KUEHL
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Credential |
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Telephone | 507-962-3240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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