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General NPI Number Information
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NPI Number | 1205406519
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Entity Type | Organization
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Legal Business Name | CONTIGO LIFEPATH COUNSELING, LLC
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 3265 19TH ST NW SUITE 120
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City | ROCHESTER
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State | MN
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Zip | 55901
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Country | US
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Telephone | 507-226-8077
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Fax | 833-370-0140
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Provider Business Mailing Address
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Address Line | 3265 19TH ST NW SUITE 120
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City | ROCHESTER
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State | MN
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Zip | 55901
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Country | US
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Telephone | 507-226-8077
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Fax | 833-370-0140
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDIA ZENDEJAS - FINLEY
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Credential | LICSW
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Telephone | 507-226-8077
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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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