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General NPI Number Information
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NPI Number | 1548184872
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Entity Type | Organization
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Legal Business Name | INTEGRATED CARE NETWORK LLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 130 DIVISION ST STE D
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City | WAITE PARK
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State | MN
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Zip | 56387-1389
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Country | US
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Telephone | 720-298-1521
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Fax |
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Provider Business Mailing Address
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Address Line | 9570 JEFFERSON DR APT 4
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City | CHANHASSEN
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State | MN
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Zip | 55317-2809
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Country | US
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Telephone | 720-298-1521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAIMA A HUSSEIN
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Credential | LPCC
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Telephone | 720-298-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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