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General NPI Number Information
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NPI Number | 1336496207
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Entity Type | Organization
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Legal Business Name | CENTER FOR DBT L.L.C.
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 318 1ST AVE SW STE 112
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City | ROCHESTER
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State | MN
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Zip | 55902-3624
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Country | US
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Telephone | 507-208-4774
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Fax | 507-208-4774
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Provider Business Mailing Address
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Address Line | 318 1ST AVE SW STE 112
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City | ROCHESTER
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State | MN
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Zip | 55902-3624
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Country | US
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Telephone | 507-208-4774
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Fax | 507-208-4774
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Authorized Official
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Title or Position | OWNER
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Name | MARIA CATHERINE BOLIN
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Credential | LICSW
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Telephone | 507-208-4774
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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 | 18844
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License Number State | MN
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