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General NPI Number Information
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NPI Number | 1831245851
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Entity Type | Organization
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Legal Business Name | CITY OF COTTAGE GROVE
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 12800 RAVINE PKWY
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-6103
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Country | US
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Telephone | 651-458-2850
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Fax | 336-791-0195
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Provider Business Mailing Address
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Address Line | PO BOX 860733
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0733
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Country | US
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Telephone | 651-458-2850
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Fax | 336-791-0195
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Authorized Official
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Title or Position | PUBLIC SAFETY DIRECTOR
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Name | PETER JOSEPH KOERNER
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Credential |
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Telephone | 651-458-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0059
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License Number State | MN
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