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General NPI Number Information
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NPI Number | 1255333530
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Entity Type | Organization
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Legal Business Name | COUNTY OF WABASHA
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 411 HIAWATHA DR E
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City | WABASHA
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State | MN
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Zip | 55981-1573
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Country | US
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Telephone | 651-565-5200
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Fax | 651-565-2637
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Provider Business Mailing Address
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Address Line | 411 HIAWATHA DR E
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City | WABASHA
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State | MN
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Zip | 55981-1573
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Country | US
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Telephone | 651-565-5200
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Fax | 651-565-2637
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. JUDITH BARTON
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Credential | PHN, DON
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Telephone | 651-565-5200
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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 | MN
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 325766
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License Number State | MN
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