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NPI 1730153693

NPI 1730153693 : CLIENT COMMUNITY SERVICES, INC. : WORTHINGTON, MN

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General NPI Number Information
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    NPI Number           |    1730153693
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLIENT COMMUNITY SERVICES, INC. 
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Dates
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    Enumeration Date     |    02/15/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    826 5TH AVE 
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    City                 |    WORTHINGTON
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    State                |    MN
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    Zip                  |    56187-2329
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    Country              |    US
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    Telephone            |    507-376-3171
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    Fax                  |    507-376-3165
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Provider Business Mailing Address
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    Address Line         |    826 5TH AVE 
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    City                 |    WORTHINGTON
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    State                |    MN
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    Zip                  |    56187-2329
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    Country              |    US
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    Telephone            |    507-376-3171
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    Fax                  |    507-376-3165
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Authorized Official
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    Title or Position    |    ADMINISTRATIVE ASSISTANT
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    Name                 |    MS. LOUISE ANN KUHL 
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    Credential           |    
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    Telephone            |    507-376-3171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    801983-2-SILS
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    315P00000X
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    Taxonomy Name        |    Intellectual Disabilities Intermediate Care Facility
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    License Number       |    802803-1-RS
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    License Number State |    MN
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Taxonomy #3
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    802833-3-WS
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    License Number State |    MN
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Taxonomy #4
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    804586-3-WS
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    License Number State |    MN
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Taxonomy #5
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    802834-3-WS
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    License Number State |    MN
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Taxonomy #6
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    1013799-3-WS
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    License Number State |    MN
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