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General NPI Number Information
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NPI Number | 1609796218
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Entity Type | Organization
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Legal Business Name | PREMIUM SOCIAL SERVICES, LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 7890 LAMBERT AVE NE
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City | OTSEGO
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State | MN
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Zip | 55301-4769
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Country | US
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Telephone | 612-296-9698
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Fax |
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Provider Business Mailing Address
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Address Line | 7890 LAMBERT AVE NE
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City | OTSEGO
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State | MN
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Zip | 55301-4769
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Country | US
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Telephone | 612-296-9698
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | JOSEPH T OKRAKENE
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Credential | M.A, MSW, LISW
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Telephone | 612-296-9698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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