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General NPI Number Information
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NPI Number | 1255518148
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Entity Type | Individual
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Provider Name | LEANNE BETH TRUEDSON MSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 444 N ASH
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City | HALLOCK
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State | MN
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Zip | 56728
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Country | US
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Telephone | 218-843-3682
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Fax |
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Provider Business Mailing Address
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Address Line | 510 PRAIRIE AVE. PO BOX 3
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City | KENNEDY
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State | MN
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Zip | 56733-0003
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Country | US
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Telephone | 218-674-4405
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 14216
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License Number State | MN
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