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General NPI Number Information
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NPI Number | 1093862518
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Entity Type | Individual
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Provider Name | PATRICIA DOROTHY GOSZ LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1200 18TH ST E
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City | HASTINGS
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State | MN
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Zip | 55033-3680
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Country | US
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Telephone | 651-438-8526
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Fax | 651-437-2012
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Provider Business Mailing Address
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Address Line | 3554 COHANSEY ST
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City | SHOREVIEW
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State | MN
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Zip | 55126-3962
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Country | US
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Telephone | 651-481-9113
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Fax | 651-437-2012
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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 | 4097
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License Number State | MN
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