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General NPI Number Information
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NPI Number | 1568251502
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Entity Type | Organization
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Legal Business Name | KQ CONSULTING, LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 30326 RANCHETTE DRIVE #591
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City | BREEZY POINT
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State | MN
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Zip | 56472
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Country | US
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Telephone | 218-833-2220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 591
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City | PEQUOT LAKES
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State | MN
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Zip | 56472-0591
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Country | US
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Telephone | 218-833-2220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIRSTINA EMANS
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Credential | LICSW
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Telephone | 218-833-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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