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General NPI Number Information
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NPI Number | 1801273537
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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 | 05/01/2015
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 1220 MONTGOMERY ST
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City | CUSTER
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State | SD
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Zip | 57730-1705
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Country | US
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Telephone | 605-673-9400
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Fax | 605-755-0694
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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 | 605-755-7649
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Fax | 605-755-7884
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Authorized Official
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Title or Position | PRESIDENT CUSTER LDWD MARKET
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Name | MARK C SCHMIDT
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Credential |
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Telephone | 605-755-8094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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