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General NPI Number Information
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NPI Number | 1528272283
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Entity Type | Individual
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Provider Name | MARJORIE ANN RENDELL RN BSN
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 106 NORTH 4TH AVENUE
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City | FERGUS FALLS
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State | MN
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Zip | 56537-1034
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Country | US
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Telephone | 218-998-3778
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Fax | 218-998-3187
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Provider Business Mailing Address
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Address Line | 2207 17TH ST SO
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City | MOORHEAD
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State | MN
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Zip | 56560
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Country | US
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Telephone | 701-388-2600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R0814830
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License Number State | MN
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