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General NPI Number Information
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NPI Number | 1144494527
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Entity Type | Organization
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Legal Business Name | DAKOTA COUNTY COMMUNITY SERVICES
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 1 MENDOTA RD W
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City | WEST ST PAUL
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State | MN
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Zip | 55118-4764
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Country | US
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Telephone | 651-438-4508
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Fax | 651-438-4603
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Provider Business Mailing Address
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Address Line | 1590 HIGHWAY 55
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City | HASTINGS
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State | MN
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Zip | 55033-2372
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Country | US
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Telephone | 651-438-4508
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Fax | 651-438-4603
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Authorized Official
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Title or Position | SENIOR ACCOUNTING MANAGER
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Name | GINA BIRK
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Credential |
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Telephone | 651-438-4508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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