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General NPI Number Information
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NPI Number | 1265239669
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Entity Type | Organization
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Legal Business Name | RESCARE MINNESOTA, INC.
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 6120 EARLE BROWN DR STE 100
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-4100
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Country | US
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Telephone | 763-277-1020
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Fax | 763-537-7162
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Provider Business Mailing Address
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Address Line | 6120 EARLE BROWN DR STE 100
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-4100
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Country | US
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Telephone | 763-277-1020
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Fax | 763-537-7162
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Authorized Official
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Title or Position | CLINICAL ADMISSIONS DIRECTOR
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Name | NIKKI SALZL
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Credential | LPCC, LADC
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Telephone | 320-333-8109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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