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General NPI Number Information
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NPI Number | 1265378525
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Entity Type | Organization
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Legal Business Name | ST MARY'S INNOVIS HEALTH
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 101 4TH ST E
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City | PARK RAPIDS
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State | MN
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Zip | 56470-2912
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Country | US
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Telephone | 218-732-2903
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Fax | 218-732-6435
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Provider Business Mailing Address
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Address Line | 101 4TH ST E
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City | PARK RAPIDS
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State | MN
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Zip | 56470-2912
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Country | US
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Telephone | 218-732-2903
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Fax | 218-732-6435
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Authorized Official
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Title or Position | COO
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Name | ALAN JAMES HURLEY
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Credential |
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Telephone | 701-364-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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