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General NPI Number Information
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NPI Number | 1427471911
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Entity Type | Organization
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Legal Business Name | NORTHWOODS SURGERY CENTER LLC
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 502 N 6TH AVE
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City | VIRGINIA
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State | MN
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Zip | 55792-2336
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Country | US
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Telephone | 218-471-1220
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Fax | 218-471-1230
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Provider Business Mailing Address
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Address Line | 502 N 6TH AVE
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City | VIRGINIA
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State | MN
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Zip | 55792-2336
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Country | US
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Telephone | 218-471-1220
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Fax | 218-471-1230
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Authorized Official
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Title or Position | CEO
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Name | DAVID J HOHL
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Credential |
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Telephone | 218-471-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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