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General NPI Number Information
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NPI Number | 1346578051
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Entity Type | Organization
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Legal Business Name | SWIFT COUNTY HUMAN SERVICES AGENCY
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 410 21ST STREET S
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City | BENSON
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State | MN
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Zip | 56215-0208
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Country | US
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Telephone | 320-843-3160
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Fax |
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Provider Business Mailing Address
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Address Line | 410 21ST STREET S
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City | BENSON
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State | MN
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Zip | 56215-0208
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Country | US
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Telephone | 320-843-3160
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Fax |
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Authorized Official
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Title or Position | FISCAL SUPERVISOR
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Name | GARY JENSEN
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Credential |
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Telephone | 320-843-3160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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