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General NPI Number Information
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NPI Number | 1184782781
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Entity Type | Organization
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Legal Business Name | ABLE, INCORPORATED
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 653 19TH ST W
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City | DICKINSON
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State | ND
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Zip | 58601-2973
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Country | US
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Telephone | 701-456-3000
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Fax | 701-456-3004
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Provider Business Mailing Address
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Address Line | 653 19TH ST W
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City | DICKINSON
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State | ND
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Zip | 58601-2973
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Country | US
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Telephone | 701-456-3000
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Fax | 701-456-3004
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MICHAEL JOHN KLEIN
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Credential |
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Telephone | 701-456-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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