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General NPI Number Information
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NPI Number | 1477529030
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Entity Type | Organization
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Legal Business Name | SOUTHWEST HEALTHCARE SERVICES
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 802 2ND ST NW SUITE 1
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City | BOWMAN
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State | ND
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Zip | 58623
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Country | US
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Telephone | 701-523-5555
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Fax | 701-523-7107
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Provider Business Mailing Address
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Address Line | 802 2ND ST NW SUITE 1
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City | BOWMAN
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State | ND
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Zip | 58623
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Country | US
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Telephone | 701-523-5555
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Fax | 701-523-7107
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Authorized Official
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Title or Position | CFO
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Name | AMANDA LOUGHMAN
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Credential |
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Telephone | 701-523-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 5006P
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License Number State | ND
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