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General NPI Number Information
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NPI Number | 1083537781
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Entity Type | Organization
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Legal Business Name | FERNBROOK FAMILY CENTER, INC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 410 CENTRAL AVE N
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City | FARIBAULT
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State | MN
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Zip | 55021-5217
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Country | US
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Telephone | 507-446-0431
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Fax |
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Provider Business Mailing Address
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Address Line | 410 CENTRAL AVE N
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City | FARIBAULT
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State | MN
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Zip | 55021-5217
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Country | US
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Telephone | 507-446-0431
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | AMANDA YOUNG
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Credential |
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Telephone | 507-446-0431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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