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General NPI Number Information
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NPI Number | 1295243277
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Entity Type | Organization
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Legal Business Name | RENVILLE COUNTY SOCIAL SERVICES
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 01/12/2018
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Provider Practice Location Address
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Address Line | 205 MAIN ST E
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City | MOHALL
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State | ND
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Zip | 58761-4014
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Country | US
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Telephone | 701-756-6374
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Fax | 701-756-6618
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | MOHALL
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State | ND
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Zip | 58761-0305
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Country | US
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Telephone | 701-756-6374
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Fax | 701-756-6618
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMANDA WALLACE
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Credential |
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Telephone | 701-756-6374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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