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General NPI Number Information
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NPI Number | 1780655696
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Entity Type | Organization
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Legal Business Name | RANGE REGIONAL HEALTH SERVICES
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 750 E 34TH ST
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City | HIBBING
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State | MN
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Zip | 55746-3522
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Country | US
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Telephone | 218-262-4881
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Fax | 218-362-6163
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Provider Business Mailing Address
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Address Line | 750 E 34TH ST
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City | HIBBING
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State | MN
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Zip | 55746-3522
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Country | US
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Telephone | 218-262-4881
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Fax | 218-362-6163
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Authorized Official
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Title or Position | SR VP/CHIEF FINANCIAL OFFICER
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Name | JOHN D KRITZ
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Credential |
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Telephone | 218-362-6657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 331001
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License Number State | MN
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