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General NPI Number Information
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NPI Number | 1912334913
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Entity Type | Organization
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Legal Business Name | SAINT ELIZABETHS HOSPITAL OF WABASHA INC
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1200 GRANT BLVD W STE 101
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City | WABASHA
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State | MN
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Zip | 55981-1042
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Country | US
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Telephone | 651-565-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 GRANT BLVD W STE 101
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City | WABASHA
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State | MN
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Zip | 55981-1042
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Country | US
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Telephone | 651-565-5527
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Fax |
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Authorized Official
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Title or Position | FINANCE ADMINISTRATOR
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Name | JOHN WOLFE
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Credential |
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Telephone | 651-565-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 264231
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License Number State | MN
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