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General NPI Number Information
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NPI Number | 1104047992
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Entity Type | Organization
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Legal Business Name | REVERENCE FOR LIFE AND CONCERN FOR PEOPLE INC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 660 18TH ST
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City | GRANITE FALLS
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State | MN
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Zip | 56241-1044
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Country | US
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Telephone | 320-564-4911
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Fax | 320-564-3122
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Provider Business Mailing Address
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Address Line | PO BOX 116
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City | GRANITE FALLS
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State | MN
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Zip | 56241-0116
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Country | US
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Telephone | 320-564-4911
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Fax | 320-564-3122
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR-CEO
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Name | MR. MARTHA PAULSON-STROMMEN
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Credential |
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Telephone | 320-564-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 801992
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1033820
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 801992
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License Number State | MN
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