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General NPI Number Information
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NPI Number | 1740130442
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Entity Type | Organization
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Legal Business Name | BUOYANT BY NATURE LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 929 ANGIER DR
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City | STORM LAKE
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State | IA
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Zip | 50588-2817
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Country | US
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Telephone | 218-791-9539
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Fax | 218-791-9539
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Provider Business Mailing Address
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Address Line | 2607 OLIVE ST
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City | GRAND FORKS
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State | ND
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Zip | 58201-7054
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Country | US
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Telephone | 218-791-5935
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MYSTE JO NELSEN HUTTON
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Credential | LISW, LCSW, LICSW
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Telephone | 218-791-9539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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