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General NPI Number Information
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NPI Number | 1033156237
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Entity Type | Individual
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Provider Name | CHRISTINE CASTANEDA LISW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-1988
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Country | US
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Telephone | 507-284-2511
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Fax | 507-284-0702
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Provider Business Mailing Address
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Address Line | PO BOX 860912
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0912
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Country | US
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Telephone | 507-284-2511
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Fax | 507-284-0702
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 01739
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 31943
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License Number State | MN
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