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General NPI Number Information
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NPI Number | 1497962393
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Entity Type | Organization
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Legal Business Name | CITY OF KENMARE
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 311 NORTH CENTRAL AVE
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City | KENARE
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State | ND
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Zip | 58746
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Country | US
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Telephone | 701-385-4933
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 817
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City | KENMARE
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State | ND
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Zip | 58746-0817
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | ARLEN GARTNER
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Credential |
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Telephone | 701-385-4488
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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 | 061
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License Number State | ND
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