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General NPI Number Information
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NPI Number | 1821096348
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Entity Type | Organization
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Legal Business Name | RIDGEVIEW MEDICAL CENTER
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 501 S MAPLE ST SUITE 2
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City | WACONIA
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State | MN
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Zip | 55387-0096
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Country | US
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Telephone | 952-442-2283
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Fax | 952-442-2948
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Provider Business Mailing Address
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Address Line | 501 S MAPLE ST SUITE 2
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City | WACONIA
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State | MN
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Zip | 55387-0096
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Country | US
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Telephone | 952-442-2283
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Fax | 952-442-2948
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ERIK JOHN SORENSEN
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Credential |
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Telephone | 952-442-2283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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