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General NPI Number Information
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NPI Number | 1568485860
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Entity Type | Organization
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Legal Business Name | ASPIRS ST LUKES
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1000 E 1ST ST
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City | DULUTH
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State | MN
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Zip | 55805-2297
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Country | US
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Telephone | 218-249-2460
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E 1ST ST
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City | DULUTH
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State | MN
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Zip | 55805-2297
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Country | US
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Telephone | 218-249-2460
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Fax |
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Authorized Official
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Title or Position | VP COMPLIANCE
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Name | KATHERINE BECKER
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Credential |
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Telephone | 218-249-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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