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General NPI Number Information
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NPI Number | 1477545333
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Entity Type | Organization
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Legal Business Name | ASTERA HEALTH
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 421 11TH ST NW
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City | WADENA
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State | MN
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Zip | 56482-1044
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Country | US
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Telephone | 218-631-3510
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Fax | 218-631-7511
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Provider Business Mailing Address
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Address Line | 415 JEFFERSON ST N
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City | WADENA
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State | MN
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Zip | 56482-1264
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Country | US
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Telephone | 218-631-3510
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Fax | 218-631-7511
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Authorized Official
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Title or Position | CEO
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Name | MR. JOEL W BEISWENGER III
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Credential |
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Telephone | 218-631-7489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 328194
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License Number State | MN
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