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General NPI Number Information
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NPI Number | 1386942639
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Entity Type | Organization
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Legal Business Name | CITY OF LAFAYETTE
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 800 MAIN AVE.
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City | LAFAYETTE
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State | MN
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Zip | 56054
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Country | US
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Telephone | 507-228-8015
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Fax |
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Provider Business Mailing Address
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Address Line | 700 9TH ST.
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City | LAFAYETTE
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State | MN
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Zip | 56054
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Country | US
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Telephone | 507-228-8241
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Fax |
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Authorized Official
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Title or Position | COUNCILMAN
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Name | MR. DARREN DENNIS SAFFERT
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Credential |
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Telephone | 507-228-8754
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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 |
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License Number State | MN
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