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General NPI Number Information
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NPI Number | 1114844248
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Entity Type | Organization
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Legal Business Name | WIN-LIBERIA) WOMEN INITIATIVE NETWORK OF LIBERIA IN CASS & CLAY COUNTIES
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 15TH 21ST STREET SOUTH SUITE 104
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City | FARGO
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State | ND
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Zip | 58103
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Country | US
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Telephone | 701-491-0578
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Fax |
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Provider Business Mailing Address
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Address Line | 15TH 21ST STREET SOUTH SUITE 104
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City | FARGO
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State | ND
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Zip | 58103
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Country | US
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Telephone | 701-491-0578
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Fax |
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Authorized Official
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Title or Position | CEO/PROGRAM DIRECTOR
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Name | MS. PRECIOUS DWEH
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Credential |
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Telephone | 701-491-0578
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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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Taxonomy #2
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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 |
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