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General NPI Number Information
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NPI Number | 1013764117
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Entity Type | Individual
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Provider Name | BRITTANY KRISTENE HANRAHAN LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | PO BOX 427
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City | REDLAKE
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State | MN
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Zip | 56671-0427
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Country | US
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Telephone | 218-407-0420
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2067
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City | BEMIDJI
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State | MN
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Zip | 56619-2067
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Country | US
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Telephone | 218-368-5159
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 26297
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License Number State | MN
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