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General NPI Number Information
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NPI Number | 1376585281
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Entity Type | Individual
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Provider Name | JANET ELAINE MACHELEDT MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 1702 UNIVERSITY DR S
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City | FARGO
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State | ND
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Zip | 58103-4940
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Country | US
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Telephone | 701-364-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 400 EAST THIRD STREET MCL2CRED
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City | DULUTH
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State | MN
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Zip | 55805-1951
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Country | US
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Telephone | 218-786-3146
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Fax |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | H1983
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | H1983
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 14418
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License Number State | ND
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