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General NPI Number Information
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NPI Number | 1710774658
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Entity Type | Individual
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Provider Name | MR. JOHN CHRISTOPHER REHORST
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Gender | Male
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 8060 STATE HIGHWAY 55 STE 100
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City | ROCKFORD
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State | MN
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Zip | 55373-9407
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Country | US
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Telephone | 320-316-3365
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1539
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City | SAINT CLOUD
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State | MN
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Zip | 56302-1539
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Country | US
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Telephone | 651-755-7280
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | MN
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