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General NPI Number Information
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NPI Number | 1316798333
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Entity Type | Individual
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Provider Name | KAYCEE ANN GINGERICH LBSW
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Gender | Female
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 240 2ND ST SE STE 2
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City | RUGBY
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State | ND
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Zip | 58368-1830
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Country | US
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Telephone | 701-871-2409
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Fax | 701-776-2516
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Provider Business Mailing Address
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Address Line | 240 2ND ST SE STE 2
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City | RUGBY
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State | ND
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Zip | 58368-1830
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Country | US
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Telephone | 701-871-2409
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Fax | 701-776-2516
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 6019
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License Number State | ND
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