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General NPI Number Information
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NPI Number | 1710147038
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Entity Type | Organization
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Legal Business Name | ACCEPTANCE COUNSELING & RECOVERY, INC.
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 217 MINNETONKA AVE S STE B
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City | WAYZATA
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State | MN
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Zip | 55391-1703
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Country | US
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Telephone | 952-220-3200
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Fax | 952-472-8161
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Provider Business Mailing Address
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Address Line | 1761 SUMACH LN
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City | MOUND
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State | MN
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Zip | 55364-1242
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Country | US
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Telephone | 952-220-3200
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Fax | 952-472-8161
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Authorized Official
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Title or Position | OWNER/EXECTIVE DIRECTOR
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Name | TRUDY L SUTHERLAND
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Credential | LICSW
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Telephone | 952-220-3200
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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 | 177764
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License Number State | MN
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