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General NPI Number Information
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NPI Number | 1346225182
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Entity Type | Organization
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Legal Business Name | DOUGLAS COUNTY HOSPITAL
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 111 17TH AVE E
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City | ALEXANDRIA
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State | MN
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Zip | 56308-3703
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Country | US
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Telephone | 320-762-1511
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Fax | 320-762-6101
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Provider Business Mailing Address
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Address Line | 111 17TH AVE E
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City | ALEXANDRIA
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State | MN
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Zip | 56308-3703
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Country | US
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Telephone | 320-762-6021
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Fax | 320-762-6101
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. WILLIAM FLAIG
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Credential |
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Telephone | 320-762-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | AD3634397
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License Number State | MN
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