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General NPI Number Information
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NPI Number | 1669329546
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Entity Type | Organization
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Legal Business Name | FATHERS RISE TOGETHER
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 2024 W 3RD ST
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City | DULUTH
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State | MN
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Zip | 55806-2053
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Country | US
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Telephone | 218-390-9204
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Fax |
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Provider Business Mailing Address
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Address Line | 2024 W 3RD ST
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City | DULUTH
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State | MN
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Zip | 55806-2053
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Country | US
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Telephone | 218-390-9204
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHAQUANA CARTER
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Credential |
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Telephone | 218-461-1722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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