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General NPI Number Information
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NPI Number | 1033896907
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Entity Type | Organization
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Legal Business Name | ZENITH CITY COUNSELING
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 1132 E 3RD ST
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City | DULUTH
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State | MN
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Zip | 55805-2212
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Country | US
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Telephone | 773-573-7783
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Fax |
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Provider Business Mailing Address
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Address Line | 1132 E 3RD ST
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City | DULUTH
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State | MN
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Zip | 55805-2212
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Country | US
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Telephone | 773-573-7783
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NOMI OSTRANDER
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Credential | PHD, MPH, LICSW
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Telephone | 773-573-7783
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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 |
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License Number State |
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