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General NPI Number Information
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NPI Number | 1528213329
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Entity Type | Organization
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Legal Business Name | CITY OF ESTELLINE
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 117 MAIN ST.
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City | ESTELLINE
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State | SD
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Zip | 57234-0278
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Country | US
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Telephone | 605-873-2388
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Fax | 605-873-2394
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | ESTELLINE
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State | SD
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Zip | 57234-0278
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Country | US
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Telephone | 605-873-2388
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Fax | 605-873-2394
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Authorized Official
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Title or Position | FINANCE OFFICER
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Name | MARY SAATHOFF
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Credential |
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Telephone | 605-873-2388
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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 | 0322-01
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License Number State | SD
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