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General NPI Number Information
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NPI Number | 1134881295
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Entity Type | Organization
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Legal Business Name | DOWN TO EARTH COUNSELING PLLC
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 1407 24TH AVE S
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City | GRAND FORKS
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State | ND
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Zip | 58201-6761
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Country | US
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Telephone | 701-740-9040
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 28TH AVE S UNIT 12282
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City | GRAND FORKS
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State | ND
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Zip | 58208-6212
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Country | US
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Telephone | 701-740-9040
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAMILLE REDMANN
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Credential | LCSW
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Telephone | 701-740-9040
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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 |
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License Number State |
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