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General NPI Number Information
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NPI Number | 1063702181
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Entity Type | Individual
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Provider Name | RACHAEL SUZANNE BELAIR MSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 4749 CHICAGO AVE STE 2D
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-4181
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Country | US
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Telephone | 612-217-1889
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Fax | 612-268-0278
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Provider Business Mailing Address
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Address Line | 4749 CHICAGO AVE STE 2D
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-4181
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Country | US
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Telephone | 612-217-1889
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Fax | 612-268-0278
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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 | 19427
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License Number State | MN
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