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General NPI Number Information
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NPI Number | 1407978893
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Entity Type | Organization
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Legal Business Name | CITY OF MARIETTA
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 203 3RD AVE. NORTH
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City | MARIETTA
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State | MN
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Zip | 56257-0123
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Country | US
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Telephone | 320-668-2375
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Fax |
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Provider Business Mailing Address
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Address Line | 204 SECOND ST. NORTH PO BOX 123
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City | MARIETTA
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State | MN
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Zip | 56257-0123
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Country | US
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Telephone | 320-668-2375
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Fax |
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Authorized Official
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Title or Position | CITY CLERK
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Name | DOROTHY CLARA STOICK
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Credential |
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Telephone | 320-668-2375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0149
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License Number State | MN
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