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General NPI Number Information
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NPI Number | 1730896309
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Entity Type | Individual
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Provider Name | FELICIA WARE LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 3400 W 66TH ST STE 400
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City | EDINA
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State | MN
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Zip | 55435-2134
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Country | US
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Telephone | 952-914-1805
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 YORK AVE S APT 101
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City | EDINA
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State | MN
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Zip | 55435-2515
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Country | US
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Telephone | 612-987-4168
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17403
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License Number State | MN
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