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General NPI Number Information
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NPI Number | 1467571745
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Entity Type | Organization
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Legal Business Name | RED RIVER SPINE ASSOCIATES, PC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 2829 UNIVERSITY DR S SUITE 201
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City | FARGO
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State | ND
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Zip | 58103-6050
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Country | US
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Telephone | 701-280-0057
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Fax | 701-365-0086
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Provider Business Mailing Address
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Address Line | 2829 UNIVERSITY DR S SUITE 201
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City | FARGO
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State | ND
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Zip | 58103-6050
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Country | US
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Telephone | 701-280-0057
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Fax | 701-365-0086
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Authorized Official
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Title or Position | PROVIDER
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Name | SCOTT E TURNER
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Credential | D.O.
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Telephone | 701-280-0057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 5781
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License Number State | ND
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