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General NPI Number Information
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NPI Number | 1023507753
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Entity Type | Organization
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Legal Business Name | CARLA HAMAND LLC
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 301 W MAIN ST
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City | KASSON
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State | MN
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Zip | 55944-1139
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Country | US
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Telephone | 507-216-5151
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Fax | 507-634-7120
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Provider Business Mailing Address
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Address Line | 301 W MAIN ST
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City | KASSON
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State | MN
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Zip | 55944-1139
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Country | US
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Telephone | 507-216-5151
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Fax | 507-634-7120
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH PROFESSIONAL
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Name | CARLA SUE HAMAND
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Credential | LICSW
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Telephone | 507-216-5151
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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 | 14211
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License Number State | MN
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