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General NPI Number Information
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NPI Number | 1336956291
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Entity Type | Individual
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Provider Name | EMILY SELBITSCHKA MSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 1833 3RD AVE
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City | ANOKA
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State | MN
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Zip | 55303-2424
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Country | US
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Telephone | 763-421-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 225 117TH LN NE
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City | BLAINE
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State | MN
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Zip | 55434-1926
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Country | US
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Telephone | 651-335-8438
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 26888
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License Number State | MN
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