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General NPI Number Information
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NPI Number | 1285591693
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Entity Type | Individual
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Provider Name | RACHAL AASA CROSS LGSW
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 112 HIGHWAY 371 S
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City | HACKENSACK
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State | MN
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Zip | 56452-2638
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Country | US
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Telephone | 218-675-5101
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Fax | 651-925-0226
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Provider Business Mailing Address
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Address Line | 203 4TH ST SW
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City | SEBEKA
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State | MN
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Zip | 56477-2448
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Country | US
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Telephone | 218-639-5113
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Fax | 651-925-0226
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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 | 31279
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License Number State | MN
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