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General NPI Number Information
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NPI Number | 1821326570
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Entity Type | Organization
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Legal Business Name | MAYO CLINIC
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 1216 SECOND STREET SW
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City | ROCHESTER
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State | MN
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Zip | 55902-1906
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Country | US
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Telephone | 507-255-7955
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Fax | 507-255-2037
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Provider Business Mailing Address
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Address Line | 200 FIRST STREET SW
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 507-284-2511
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. DENNIS DAHLEN
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Credential |
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Telephone | 507-538-3389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 6011278
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 0390
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License Number State | MN
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