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General NPI Number Information
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NPI Number | 1609735836
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Entity Type | Organization
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Legal Business Name | GOOD TO GEAUX
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1107 11TH AVE SE
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City | SAINT CLOUD
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State | MN
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Zip | 56304-1709
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Country | US
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Telephone | 612-770-5332
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Fax |
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Provider Business Mailing Address
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Address Line | 2136 3RD ST N
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City | SARTELL
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State | MN
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Zip | 56377-2460
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Country | US
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Telephone | 612-770-5332
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Fax |
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Authorized Official
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Title or Position | LPPC
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Name | MR. JONPAUL MICHAEL DUFOUR
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Credential | LPPC
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Telephone | 612-770-5332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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