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General NPI Number Information
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NPI Number | 1225198690
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Entity Type | Organization
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Legal Business Name | FOLEY MEDICAL CENTER LTD
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 471 HWY 23
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City | FOLEY
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State | MN
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Zip | 56329
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Country | US
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Telephone | 320-968-7234
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Fax | 320-968-7237
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Provider Business Mailing Address
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Address Line | PO BOX 218 471 HWY 23
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City | FOLEY
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State | MN
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Zip | 56329
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Country | US
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Telephone | 320-968-7234
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Fax | 320-968-7237
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Authorized Official
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Title or Position | PRESIDENT OF FOLEY MEDICAL CENTER
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Name | KEVIN K STILES
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Credential | MD
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Telephone | 320-968-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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