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General NPI Number Information
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NPI Number | 1588182760
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Entity Type | Individual
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Provider Name | DOREEN RIDER LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 401 16TH ST SE
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City | ROCHESTER
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State | MN
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Zip | 55904-7973
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Country | US
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Telephone | 507-473-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 214 SAINT PAUL ST NW
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City | PRESTON
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State | MN
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Zip | 55965-1027
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Country | US
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Telephone | 507-216-1075
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 28831
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | IC-1140
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License Number State | NV
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