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General NPI Number Information
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NPI Number | 1295497097
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Entity Type | Organization
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Legal Business Name | ST. ANDREW'S HOSPITAL
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 10/08/2021
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Provider Practice Location Address
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Address Line | 314 OHMER ST
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City | BOTTINEAU
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State | ND
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Zip | 58318-1059
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Country | US
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Telephone | 701-228-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 314 OHMER ST
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City | BOTTINEAU
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State | ND
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Zip | 58318-1059
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Country | US
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Telephone | 701-228-9400
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCE DIRECTOR
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Name | BRENDA ARNESON
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Credential |
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Telephone | 701-228-9314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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