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General NPI Number Information
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NPI Number | 1144353343
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF HUMAN SERVICES &PHS, IHS
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 425 7TH ST NW
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City | CASS LAKE
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State | MN
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Zip | 56633-3360
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Country | US
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Telephone | 218-335-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 425 7TH ST NW
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City | CASS LAKE
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State | MN
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Zip | 56633-3360
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Country | US
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Telephone | 218-335-3200
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Fax |
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Authorized Official
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Title or Position | HEALTH SYSTEMS ADMINISTRATOR
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Name | MS. JOANNA MARIE FERRARO
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Credential |
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Telephone | 218-335-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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