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General NPI Number Information
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NPI Number | 1427332220
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Entity Type | Organization
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Legal Business Name | DOMINION RESOURCES, INC
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 555 3RD AVE NW STE B
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City | HUTCHINSON
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State | MN
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Zip | 55350-1639
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Country | US
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Telephone | 320-864-9926
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Fax | 888-206-4549
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Provider Business Mailing Address
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Address Line | 1225 SW 304TH ST
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City | FEDERAL WAY
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State | WA
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Zip | 98023-3417
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Country | US
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Telephone | 952-290-0459
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Fax | 888-206-4549
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Authorized Official
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Title or Position | PRESIDENT
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Name | OLADIPO AJAYI
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Credential |
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Telephone | 952-290-0459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 353272
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License Number State | MN
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