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General NPI Number Information
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NPI Number | 1245615533
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Entity Type | Individual
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Provider Name | DEBBIE LYNN TECHAR LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 7066 STILLWATER BLVD N
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City | SAINT PAUL
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State | MN
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Zip | 55128-3937
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Country | US
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Telephone | 651-777-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 3353 HAZEL TRL UNIT A
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City | WOODBURY
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State | MN
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Zip | 55129-8387
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Country | US
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Telephone | 402-681-2242
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24516
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License Number State | MN
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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 | 3166
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License Number State | NE
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