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General NPI Number Information
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NPI Number | 1295255933
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Entity Type | Organization
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Legal Business Name | NORTHWEST HUMAN SERVICE CENTER
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 316 2ND AVE W
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City | WILLISTON
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State | ND
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Zip | 58801-5218
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Country | US
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Telephone | 701-774-4600
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Fax | 701-774-4620
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Provider Business Mailing Address
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Address Line | PO BOX 1266
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City | WILLISTON
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State | ND
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Zip | 58802-1266
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Country | US
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Telephone | 701-774-4600
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Fax | 701-774-4620
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Authorized Official
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Title or Position | ASSISTANT CFO - DHS
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Name | DONNA AUKLAND
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Credential |
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Telephone | 701-328-4924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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