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General NPI Number Information
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NPI Number | 1376658906
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Entity Type | Individual
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Provider Name | ELIZABETH MARY FERRON LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 5000 W 36TH ST STE 230
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-2771
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Country | US
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Telephone | 612-581-9998
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Fax | 952-516-9224
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Provider Business Mailing Address
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Address Line | 2150 ESSEX RD
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City | HOPKINS
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State | MN
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Zip | 55305-2249
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Country | US
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Telephone | 612-581-9998
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Fax | 320-240-1501
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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 | 3957
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License Number State | MN
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