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General NPI Number Information
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NPI Number | 1124848338
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Entity Type | Organization
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Legal Business Name | INTEGRITY INDEPENDENT CONTRACTING, L.L.C.
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Dates
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Enumeration Date | 10/12/2024
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 12366 72ND CT NE
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City | OTSEGO
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State | MN
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Zip | 55330-5651
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Country | US
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Telephone | 952-200-1065
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Fax |
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Provider Business Mailing Address
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Address Line | 12366 72ND CT NE
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City | OTSEGO
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State | MN
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Zip | 55330-5651
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Country | US
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Telephone | 952-200-1065
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND DWEH
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Credential | OWNER
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Telephone | 763-245-0785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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