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NPI 1649412255

NPI 1649412255 : RONDA LAPOINTE M.S.W., LICSW : BAXTER, MN

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General NPI Number Information
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    NPI Number           |    1649412255
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    Entity Type          |    Individual 
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    Provider Name        |    RONDA LAPOINTE M.S.W., LICSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/27/2009
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    Last Update Date     |    08/23/2019
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Provider Practice Location Address
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    Address Line         |    13045 FALCON DR STE 100 
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    City                 |    BAXTER
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    State                |    MN
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    Zip                  |    56425-4201
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    Country              |    US
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    Telephone            |    218-829-9307
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    Fax                  |    218-829-7649
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Provider Business Mailing Address
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    Address Line         |    8669 EAGLE POINT BLVD 
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    City                 |    LAKE ELMO
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    State                |    MN
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    Zip                  |    55042-8628
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    Country              |    US
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    Telephone            |    651-379-0444
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    Fax                  |    651-379-0448
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    11383
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    License Number State |    MN
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