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General NPI Number Information
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NPI Number | 1295266898
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Entity Type | Organization
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Legal Business Name | DEER RIVER HEALTHCARE CENTER, INC
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 115 10TH AVE NE
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City | DEER RIVER
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State | MN
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Zip | 56636-8795
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Country | US
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Telephone | 218-246-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 115 10TH AVE NE
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City | DEER RIVER
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State | MN
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Zip | 56636-8795
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Country | US
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Telephone | 218-246-2900
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STEVEN FELTMAN
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Credential |
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Telephone | 218-742-8662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0064
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License Number State | MN
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