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General NPI Number Information
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NPI Number | 1134269392
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Entity Type | Organization
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Legal Business Name | CITY OF RED WING
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 315 W 4TH ST
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City | RED WING
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State | MN
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Zip | 55066
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Country | US
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Telephone | 651-385-3600
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Fax | 651-388-9608
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Provider Business Mailing Address
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Address Line | 315 W 4TH ST
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City | RED WING
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State | MN
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Zip | 55066
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Country | US
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Telephone | 651-385-3600
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Fax | 651-388-9608
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MR. MARSHALL HALLOCK
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Credential |
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Telephone | 651-385-3602
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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 | 6000706
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0204
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License Number State | MN
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