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General NPI Number Information
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NPI Number | 1326108150
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Entity Type | Organization
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Legal Business Name | CITY OF MONTGOMERY
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 201 ASH AVE SW
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City | MONTGOMERY
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State | MN
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Zip | 56069-1225
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Country | US
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Telephone | 507-364-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 201 ASH AVE SW
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City | MONTGOMERY
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State | MN
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Zip | 56069-1225
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Country | US
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Telephone | 507-364-8888
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Fax | 507-953-2071
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Authorized Official
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Title or Position | CITY ADMINISTATOR / AO
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Name | BRIAN HECK
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Credential |
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Telephone | 507-364-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0165
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License Number State | MN
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