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General NPI Number Information
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NPI Number | 1528128303
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Entity Type | Individual
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Provider Name | MS. ROSELLA G KLIEWER
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1700 N BROADWAY SUITE 154
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City | ROCHESTER
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State | MN
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Zip | 55906-4199
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Country | US
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Telephone | 507-280-6054
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Fax | 507-280-6010
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Provider Business Mailing Address
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Address Line | 2333 HAWTHORN HILL RD NE
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City | ROCHESTER
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State | MN
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Zip | 55906-8582
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Country | US
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Telephone | 507-280-6054
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Fax | 507-280-6010
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1526
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 436
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License Number State | MN
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