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General NPI Number Information
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NPI Number | 1164186110
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Entity Type | Organization
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Legal Business Name | BEAR PAW ENTERPRISES, LLC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 1025 DALE ST SW
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City | HUTCHINSON
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State | MN
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Zip | 55350-3065
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Country | US
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Telephone | 320-234-8917
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Fax | 320-587-0053
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Provider Business Mailing Address
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Address Line | 955 CLEVELAND AVE SW
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City | HUTCHINSON
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State | MN
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Zip | 55350-3737
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Country | US
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Telephone | 320-587-0005
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Fax | 320-587-0053
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Authorized Official
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Title or Position | CFO
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Name | SARAH WORK
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Credential |
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Telephone | 320-587-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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