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General NPI Number Information
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NPI Number | 1164693933
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Entity Type | Organization
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Legal Business Name | TOWNER COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 228 1ST AVE
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City | CANDO
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State | ND
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Zip | 58324-7500
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Country | US
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Telephone | 701-968-2554
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Fax | 701-968-2574
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Provider Business Mailing Address
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Address Line | PO BOX 688
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City | CANDO
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State | ND
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Zip | 58324-0688
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Country | US
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Telephone | 701-968-4411
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Fax | 701-968-2574
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | TAMMY LARSON
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Credential |
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Telephone | 701-968-2560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 195
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License Number State | ND
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