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General NPI Number Information
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NPI Number | 1295777951
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Entity Type | Organization
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Legal Business Name | ASHLEY MEDICAL CENTER
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 510 S MAIN
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City | ZEELAND
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State | ND
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Zip | 58581-4014
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Country | US
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Telephone | 701-288-3448
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Fax | 701-288-3213
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Provider Business Mailing Address
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Address Line | PO BOX 450 612 CENTER AVE N
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City | ASHLEY
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State | ND
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Zip | 58413-0450
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Country | US
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Telephone | 701-288-3448
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Fax | 701-288-3213
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Authorized Official
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Title or Position | CEO
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Name | ERIC HEUPEL
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Credential |
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Telephone | 701-288-3433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | ND
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Taxonomy #2
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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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