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General NPI Number Information
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NPI Number | 1053209585
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Entity Type | Individual
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Provider Name | GRETCHEN NASSEN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 259 DAKOTA AVE S STE 7
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City | HURON
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State | SD
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Zip | 57350-1960
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Country | US
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Telephone | 605-550-0632
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Fax |
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Provider Business Mailing Address
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Address Line | 2297 KANSAS AVE SE STE 5
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City | HURON
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State | SD
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Zip | 57350-4287
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Country | US
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Telephone | 605-550-0632
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Fax | 605-205-8962
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | SD
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