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General NPI Number Information
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NPI Number | 1982819561
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF THE DIOCESE OF ST CLOUD
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1726 7TH AVE S
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City | SAINT CLOUD
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State | MN
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Zip | 56301-5711
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Country | US
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Telephone | 320-650-1500
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Fax | 320-650-1508
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Provider Business Mailing Address
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Address Line | PO BOX 2390
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City | SAINT CLOUD
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State | MN
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Zip | 56302-2390
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Country | US
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Telephone | 320-650-1660
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Fax | 320-650-1528
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | JOANNE BROSCHOFSKY
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Credential |
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Telephone | 320-650-1571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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