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General NPI Number Information
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NPI Number | 1669684825
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Entity Type | Organization
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Legal Business Name | ABREDEEN AREA TRIBAL CHAIRMANS HEALTH BOARD
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 331 4TH AVE E BUILDING 3
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City | TRENTON
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State | ND
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Zip | 58853-9998
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Country | US
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Telephone | 701-774-8824
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Fax | 701-774-1009
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Provider Business Mailing Address
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Address Line | P.O. BOX 207
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City | TRENTON
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State | ND
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Zip | 58853-0207
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Country | US
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Telephone | 701-774-8824
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Fax | 701-774-1009
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Authorized Official
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Title or Position | TISA NPHS COORDINATOR
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Name | MS. DARLAS ROGERS
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Credential |
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Telephone | 701-774-8824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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