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General NPI Number Information
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NPI Number | 1922335538
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Entity Type | Organization
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Legal Business Name | HARVEY CLINIC, PC
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 110 9TH ST E
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City | HARVEY
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State | ND
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Zip | 58341-1503
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Country | US
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Telephone | 701-324-2396
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Fax | 701-324-5210
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Provider Business Mailing Address
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Address Line | 110 9TH ST E PO 202
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City | HARVEY
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State | ND
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Zip | 58341-1503
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Country | US
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Telephone | 701-324-2396
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Fax | 701-324-5210
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN R LINDEMANN
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Credential | MD
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Telephone | 701-324-2396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5076
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License Number State | ND
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