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General NPI Number Information
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NPI Number | 1427981810
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Entity Type | Individual
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Provider Name | ISAIAH KLUDT
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Gender | Male
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 600 2ND AVE N
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City | HETTINGER
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State | ND
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Zip | 58639-7448
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Country | US
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Telephone | 701-567-8910
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Fax |
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Provider Business Mailing Address
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Address Line | 107 2 1/2 AVE SW
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City | HETTINGER
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State | ND
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Zip | 58639-9580
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Country | US
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Telephone | 701-928-1564
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2919
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License Number State | ND
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