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General NPI Number Information
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NPI Number | 1508539727
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Entity Type | Organization
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Legal Business Name | HEARTH CONNECTION
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 2446 UNIVERSITY AVE W STE 150
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City | SAINT PAUL
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State | MN
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Zip | 55114-1763
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Country | US
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Telephone | 651-302-4186
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Fax |
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Provider Business Mailing Address
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Address Line | 2446 UNIVERSITY AVE W STE 150
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City | SAINT PAUL
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State | MN
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Zip | 55114-1763
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Country | US
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Telephone | 651-302-4186
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Fax |
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Authorized Official
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Title or Position | SENIOR PROGRAM MANAGER
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Name | HEATHER DAWN DUCHSCHERER
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Credential | LSW, MSW, MPP
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Telephone | 651-302-7186
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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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