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/li Other Provider Identifier 1 626937908 MEDICAID Identifier State 1 5355760001 Identifier Type 2 MEDICARE NSC -5- NPPES National Plan Enumeration System 1-800-465-3203 NPI Toll-Free 1-800-692-2326 NPI TTY NPI Enumerator PO Box 6059 Fargo ND 58108-6059 Email customerservice npienumerator. DO NOT report the Social Security Number SSN IRS Individual Taxpayer Identification Number ITIN in this section. li X - The primary taxonomy switch is Not Answered /li li Y - The taxonomy is the primary...
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