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General NPI Number Information
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NPI Number | 1053727289
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Entity Type | Organization
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Legal Business Name | C & C CONSULTING INC.
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 105 6TH AVE S
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City | PRINCETON
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State | MN
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Zip | 55371-1819
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Country | US
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Telephone | 763-308-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 105 6TH AVE S
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City | PRINCETON
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State | MN
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Zip | 55371-1819
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Country | US
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Telephone | 763-308-0006
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERYL JUDY MINKS
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Credential | LADC
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Telephone | 763-486-7517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | MN
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