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General NPI Number Information
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NPI Number | 1598451940
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Entity Type | Individual
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Provider Name | KATIE FICKER
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Gender | Female
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 224 KRAYS MILL RD
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City | COLD SPRING
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State | MN
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Zip | 56320-4563
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Country | US
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Telephone | 320-348-1250
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Fax |
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Provider Business Mailing Address
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Address Line | 17586 JANSSEN DR
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City | COLD SPRING
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State | MN
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Zip | 56320-8802
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Country | US
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Telephone | 320-492-1164
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 24195
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License Number State | MN
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