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General NPI Number Information
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NPI Number | 1346513082
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Entity Type | Individual
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Provider Name | MANDY ERIN HYLAND MSW, LGSW
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Gender | Female
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 101 21ST ST SE
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City | AUSTIN
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State | MN
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Zip | 55912-4300
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Country | US
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Telephone | 507-272-1419
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Fax | 507-216-6560
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Provider Business Mailing Address
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Address Line | PO BOX 246 137 WEST FILLMORE STREET
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City | PRESTON
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State | MN
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Zip | 55965-0246
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Country | US
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Telephone | 507-272-1419
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Fax | 507-216-6560
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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 | 17135
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License Number State | MN
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