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General NPI Number Information
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NPI Number | 1215467808
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Entity Type | Individual
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Provider Name | CHERYL LYNN KLATT LSW
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1148 GRAND AVE
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City | ST. PAUL
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State | MN
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Zip | 55105
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Country | US
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Telephone | 651-690-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 1148 GRAND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-2628
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Country | US
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Telephone | 651-690-5352
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 3628
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License Number State | MN
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