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General NPI Number Information
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NPI Number | 1457294696
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Entity Type | Individual
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Provider Name | LANDON MAKALL CONNIN
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Gender | Male
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 207 MILLANA CT
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City | CAVALIER
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State | ND
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Zip | 58220-4643
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Country | US
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Telephone | 701-520-8479
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Fax |
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Provider Business Mailing Address
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Address Line | 110 MILLANA CT
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City | CAVALIER
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State | ND
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Zip | 58220-4602
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Country | US
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Telephone |
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | ND
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