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General NPI Number Information
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NPI Number | 1942216361
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Entity Type | Organization
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Legal Business Name | MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1707 WESTGATE RD
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City | EAU CLAIRE
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State | WI
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Zip | 54703-4964
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Country | US
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Telephone | 715-838-5861
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Fax |
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Provider Business Mailing Address
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Address Line | 21 2ND ST SW STE 118
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City | ROCHESTER
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State | MN
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Zip | 55902-3197
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JULIE S HANSEN
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Credential |
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Telephone | 715-838-5270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 8530
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License Number State | WI
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