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General NPI Number Information
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NPI Number | 1669554408
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Entity Type | Organization
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Legal Business Name | COUNTY OF WASHINGTON
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 14949 62ND ST N RM 450
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City | STILLWATER
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State | MN
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Zip | 55082-6132
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Country | US
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Telephone | 651-430-6655
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Fax | 651-430-6730
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Provider Business Mailing Address
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Address Line | 14949 62ND ST N ROOM 4600
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City | STILLWATER
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State | MN
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Zip | 55082-6132
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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 | DIRECTOR
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Name | DAVID BRUMMEL
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Credential |
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Telephone | 651-430-6662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 251K00000X
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License Number State | MN
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