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General NPI Number Information
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NPI Number | 1922957877
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Entity Type | Organization
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Legal Business Name | NORTH COUNTRY MEDICINE LLC
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 58714 FRAZIER ST
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City | PARK RAPIDS
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State | MN
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Zip | 56470-3053
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Country | US
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Telephone | 320-333-2522
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Fax | 320-333-2522
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Provider Business Mailing Address
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Address Line | 58714 FRAZIER ST
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City | PARK RAPIDS
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State | MN
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Zip | 56470-3053
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Country | US
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Telephone | 320-333-2522
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Fax | 320-333-2522
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | ROBIN SAND
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Credential | APRN NP-C
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Telephone | 320-333-2522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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