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General NPI Number Information
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NPI Number | 1770502460
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Entity Type | Organization
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Legal Business Name | MONUMENT HEALTH NETWORK, INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 2140 JUNCTION AVENUE
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City | STURGIS
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State | SD
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Zip | 57785-2358
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Country | US
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Telephone | 605-720-2600
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Fax | 605-720-2611
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Provider Business Mailing Address
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Address Line | PO BOX 860013
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0013
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Country | US
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Telephone | 605-720-2600
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Fax | 605-720-2611
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Authorized Official
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Title or Position | PRESIDENT STURGIS HOSPITAL
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Name | MARK SCHULTE
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Credential |
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Telephone | 605-720-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 10567
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License Number State | SD
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