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General NPI Number Information
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NPI Number | 1740713239
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Entity Type | Individual
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Provider Name | SARA FLATEN
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Gender | Female
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 600 DEMERS AVE STE 303
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City | GRAND FORKS
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State | ND
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Zip | 58201-4599
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Country | US
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Telephone | 701-757-0292
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Fax |
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Provider Business Mailing Address
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Address Line | 640 2ND ST S
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City | MIDDLE RIVER
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State | MN
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Zip | 56737-4020
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Country | US
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Telephone | 218-791-6748
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 4585
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License Number State | ND
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