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General NPI Number Information
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NPI Number | 1699728261
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S HOSPITAL OF DULUTH
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1000 E 1ST ST STE 302
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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 | 218-249-6960
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Fax |
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Provider Business Mailing Address
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Address Line | 29980 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1299
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Country | US
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Telephone | 715-847-2304
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Fax |
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Authorized Official
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Title or Position | SVP & CHIEF FINANCIAL OFFICER
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Name | JERRY YANG
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Credential |
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Telephone | 715-847-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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