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General NPI Number Information
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NPI Number | 1801995402
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Entity Type | Organization
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Legal Business Name | COUNTY OF PEMBINA
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 301 DAKOTA ST W UNIT 2
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City | CAVALIER
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State | ND
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Zip | 58220-4100
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Country | US
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Telephone | 701-265-4248
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Fax | 701-265-5193
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Provider Business Mailing Address
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Address Line | 301 DAKOTA ST W UNIT 2
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City | CAVALIER
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State | ND
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Zip | 58220-4100
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Country | US
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Telephone | 701-265-4248
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Fax | 701-265-5193
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Authorized Official
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Title or Position | DIRECTOR / ADMINISTRATOR
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Name | JULIE K HARDY
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Credential | RN
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Telephone | 701-265-4248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 29
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License Number State | ND
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