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General NPI Number Information
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NPI Number | 1285648295
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Entity Type | Organization
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Legal Business Name | NORTH MEMORIAL HEALTH CARE
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 9825 HOSPITAL DR STE 11
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City | MAPLE GROVE
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State | MN
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Zip | 55369-4479
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Country | US
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Telephone | 763-581-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 735463
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City | CHICAGO
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State | IL
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Zip | 60673-5463
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Country | US
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Telephone | 763-581-2820
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Fax |
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Authorized Official
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Title or Position | INTERIM CFO
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Name | STEPHANIE R GALE
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Credential |
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Telephone | 763-581-4635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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