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General NPI Number Information
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NPI Number | 1407396864
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Entity Type | Individual
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Provider Name | ALLISON FLINK LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 2207 E MAIN AVE
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City | BISMARCK
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State | ND
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Zip | 58501-4910
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Country | US
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Telephone | 800-627-8220
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Fax | 651-925-0057
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Provider Business Mailing Address
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Address Line | PO BOX 9859
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City | FARGO
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State | ND
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Zip | 58106-9859
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Country | US
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Telephone | 701-451-4900
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Fax | 651-925-0057
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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 | 4923
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4923
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License Number State | ND
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