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General NPI Number Information
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NPI Number | 1316960701
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Entity Type | Organization
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Legal Business Name | QUESTAR DULUTH, INC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1527 LONDON ROAD
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City | DULUTH
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State | MN
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Zip | 55812
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Country | US
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Telephone | 218-724-5040
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 ROSS AVE 3600 CHASE TOWER
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City | DALLAS
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State | TX
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Zip | 75201-2708
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Country | US
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Telephone | 214-303-2776
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | NANCY BRANDON
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Credential |
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Telephone | 214-303-2776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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