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General NPI Number Information
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NPI Number | 1881823243
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Entity Type | Organization
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Legal Business Name | YELLOW MEDICINE COUNTY FAMILY SERVICES
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 930 4TH ST STE 4
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City | GRANITE FALLS
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State | MN
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Zip | 56241-1463
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Country | US
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Telephone | 320-564-2211
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Fax | 320-564-4165
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Provider Business Mailing Address
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Address Line | 930 4TH ST STE 4
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City | GRANITE FALLS
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State | MN
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Zip | 56241-1463
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Country | US
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Telephone | 320-564-2211
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Fax | 320-564-4165
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Authorized Official
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Title or Position | FISCAL SUPERVISOR
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Name | MRS. LYNELL MARIE SUNDERLAND
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Credential |
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Telephone | 320-564-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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