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General NPI Number Information
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NPI Number | 1306780549
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Entity Type | Individual
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Provider Name | REGAN IHLENFELD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 325 MEADOW LN
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City | OWATONNA
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State | MN
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Zip | 55060-2747
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Country | US
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Telephone | 507-444-8415
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Fax |
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Provider Business Mailing Address
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Address Line | 1041 GRANDVIEW AVE
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City | OWATONNA
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State | MN
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Zip | 55060-3712
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Country | US
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Telephone | 507-363-2502
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 31166
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License Number State | MN
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