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General NPI Number Information
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NPI Number | 1639765118
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Entity Type | Organization
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Legal Business Name | NELSON COUNTY HEALTH SYSTEM
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 108 E NYHUS AVE
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City | MCVILLE
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State | ND
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Zip | 58254-4110
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Country | US
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Telephone | 701-322-4314
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Fax | 701-322-5533
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Provider Business Mailing Address
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Address Line | PO BOX 367
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City | MCVILLE
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State | ND
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Zip | 58254-0367
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Country | US
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Telephone | 701-322-4328
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Fax | 701-322-2250
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Authorized Official
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Title or Position | CEO
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Name | STEVE FORDE
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Credential |
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Telephone | 701-322-4328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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