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General NPI Number Information
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NPI Number | 1497702583
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Entity Type | Organization
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Legal Business Name | FLAD ENTERPRISES, INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 163 WALNUT ST
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City | WINONA
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State | MN
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Zip | 55987-3404
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Country | US
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Telephone | 507-452-1313
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Fax | 507-454-5717
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Provider Business Mailing Address
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Address Line | 163 WALNUT ST P O BOX 111
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City | WINONA
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State | MN
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Zip | 55987-3404
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Country | US
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Telephone | 507-452-1313
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Fax | 507-454-5717
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN J FLAD
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Credential |
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Telephone | 507-454-1315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4598806
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License Number State | MN
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