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General NPI Number Information
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NPI Number | 1265223549
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Entity Type | Individual
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Provider Name | MRS. GRETCHEN J. RING
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1611 COUNTY ROAD B W STE 204
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City | ROSEVILLE
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State | MN
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Zip | 55113-4053
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Country | US
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Telephone | 763-200-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 6539 105TH TRL N
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City | BROOKLYN PARK
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State | MN
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Zip | 55445-2388
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Country | US
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Telephone | 612-501-4778
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4653
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License Number State | MN
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