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General NPI Number Information
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NPI Number | 1801652052
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Entity Type | Organization
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Legal Business Name | SAUK PRAIRIE HEALTHCARE INC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 260 26TH ST
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City | PRAIRIE DU SAC
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State | WI
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Zip | 53578-2203
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Country | US
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Telephone | 608-643-7688
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 CITY WEST PKWY
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3248
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Country | US
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Telephone | 952-653-2565
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | AMY J ARMSTRONG
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Credential |
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Telephone | 608-643-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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