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General NPI Number Information
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NPI Number | 1225129547
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Entity Type | Organization
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Legal Business Name | ACCESS NORTH CENTER FOR INDEPENDENT LIVING OF NORTHEASTERN MINNESOTA
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 1309 E 40TH ST
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City | HIBBING
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State | MN
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Zip | 55746
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Country | US
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Telephone | 218-262-6675
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Fax | 218-262-1401
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Provider Business Mailing Address
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Address Line | 1309 E 40TH ST
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City | HIBBING
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State | MN
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Zip | 55746
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Country | US
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Telephone | 218-262-6675
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Fax | 218-262-1401
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DONALD P. BRUNETTE
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Credential |
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Telephone | 218-262-6675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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