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NPI 1427392810

NPI 1427392810 : A BETTER CONNECTION, INC. : LAKE GEORGE, MN

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General NPI Number Information
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    NPI Number           |    1427392810
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    Entity Type          |    Organization 
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    Legal Business Name  |    A BETTER CONNECTION, INC. 
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Dates
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    Enumeration Date     |    11/26/2012
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    Last Update Date     |    11/07/2025
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Provider Practice Location Address
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    Address Line         |    36155 NEW MELAHN DR 
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    City                 |    LAKE GEORGE
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    State                |    MN
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    Zip                  |    56458-4110
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    Country              |    US
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    Telephone            |    218-252-8016
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    36155 NEW MELAHN DR 
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    City                 |    LAKE GEORGE
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    State                |    MN
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    Zip                  |    56458-4110
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    Country              |    US
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    Telephone            |    218-252-8016
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DANIELLE NORBY KONDZIOLKA 
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    Credential           |    LICSW
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    Telephone            |    218-252-8016
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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       |    20454
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    License Number State |    MN
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