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General NPI Number Information
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NPI Number | 1447310271
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Entity Type | Organization
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Legal Business Name | CITY OF KERKHOVEN
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 202 9TH STREET N
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City | KERKHOVEN
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State | MN
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Zip | 56252
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Country | US
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Telephone | 218-233-5658
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 364
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City | MOORHEAD
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State | MN
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Zip | 56561-0364
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Country | US
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Telephone | 218-233-5658
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Fax | 218-233-7630
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Authorized Official
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Title or Position | DIRECTOR
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Name | THOMAS DAHL
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Credential |
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Telephone | 320-264-2581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0122
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License Number State | MN
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