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General NPI Number Information
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NPI Number | 1477613768
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Entity Type | Organization
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Legal Business Name | CITY OF CANNON FALLS
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Dates
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Enumeration Date | 12/10/2006
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 918 RIVER RD
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City | CANNON FALLS
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State | MN
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Zip | 55009-1447
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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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Provider Business Mailing Address
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Address Line | 918 RIVER RD
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City | CANNON FALLS
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State | MN
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Zip | 55009-1447
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Country | US
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Telephone | 507-263-9300
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Fax | 507-263-2634
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | TIM MALCHOW
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Credential |
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Telephone | 507-263-7027
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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 | 0044
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License Number State | MN
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