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General NPI Number Information
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NPI Number | 1427342138
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Entity Type | Organization
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Legal Business Name | DOUGLAS COUNTY HOSPITAL
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 111 17TH AVE E STE 101
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City | ALEXANDRIA
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State | MN
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Zip | 56308-5274
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Country | US
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Telephone | 320-762-1144
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Fax | 320-762-1935
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Provider Business Mailing Address
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Address Line | 111 17TH AVE E STE 101
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City | ALEXANDRIA
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State | MN
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Zip | 56308-5274
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Country | US
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Telephone | 320-762-1144
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Fax | 320-762-1935
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CARL P VAAGENES
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Credential |
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Telephone | 320-762-6021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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