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General NPI Number Information
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NPI Number | 1154852663
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Entity Type | Organization
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Legal Business Name | RIGHT MIND COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 03/26/2017
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Last Update Date | 03/26/2017
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Provider Practice Location Address
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Address Line | 7362 UNIVERSITY AVE NE SUITE 101
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City | FRIDLEY
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State | MN
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Zip | 55432-3142
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Country | US
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Telephone | 507-254-7967
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Fax |
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Provider Business Mailing Address
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Address Line | 1749 3RD AVE NE
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City | ROCHESTER
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State | MN
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Zip | 55906-4161
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Country | US
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Telephone | 507-254-7967
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | JUDY K. BRUNSGAARD
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Credential | LICSW
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Telephone | 507-254-7967
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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 | 7902-123
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19209
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License Number State | MN
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