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General NPI Number Information
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NPI Number | 1023711140
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Entity Type | Individual
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Provider Name | JENNIFER ELIZABETH ROONEY MSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 4801 VETERANS DR
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City | SAINT CLOUD
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State | MN
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Zip | 56303-2015
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Country | US
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Telephone | 320-252-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 535 NORTHLAND DR APT 110
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City | SAINT JOSEPH
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State | MN
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Zip | 56374-4562
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Country | US
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Telephone | 320-424-1333
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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 | 23315
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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