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General NPI Number Information
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NPI Number | 1417911801
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Entity Type | Organization
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Legal Business Name | RAMSEY INTEGRATED HEALTH SERVICES
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 475 ETNA STREET SUITE 3
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City | ST PAUL
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State | MN
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Zip | 55106-5845
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Country | US
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Telephone | 651-776-2112
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Fax | 651-776-2029
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Provider Business Mailing Address
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Address Line | 475 ETNA STREET SUITE 3
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City | ST PAUL
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State | MN
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Zip | 55106-5845
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Country | US
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Telephone | 651-776-2112
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Fax | 651-776-2029
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MARY LOU IRVINE
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Credential |
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Telephone | 952-883-6977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 330940
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License Number State | MN
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