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General NPI Number Information
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NPI Number | 1235297946
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Entity Type | Organization
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Legal Business Name | SHERBURNE COUNTY
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 13880 BUSINESS CENTER DRIVE SUITE 100
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City | ELK RIVER
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State | MN
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Zip | 55330-1692
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Country | US
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Telephone | 763-765-4000
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Fax | 763-765-4096
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Provider Business Mailing Address
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Address Line | 13880 BUSINESS CENTER DRIVE SUITE 100
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City | ELK RIVER
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State | MN
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Zip | 55330-1692
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Country | US
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Telephone | 763-765-4000
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Fax | 763-765-4096
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARYJO COBB
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Credential |
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Telephone | 763-765-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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