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General NPI Number Information
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NPI Number | 1366977936
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Entity Type | Individual
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Provider Name | KRISTEN DARGAY
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Gender | Female
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 111 17TH AVE E STE 1
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City | ALEXANDRIA
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State | MN
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Zip | 56308-0057
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Country | US
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Telephone | 320-759-4326
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Fax | 320-759-4327
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Provider Business Mailing Address
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Address Line | 111 17TH AVE E STE 1
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City | ALEXANDRIA
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State | MN
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Zip | 56308-0057
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Country | US
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Telephone | 320-759-4326
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Fax | 320-759-4327
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 9628
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License Number State | MN
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