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General NPI Number Information
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NPI Number | 1750292199
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Entity Type | Organization
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Legal Business Name | LOTUS & ROWAN HEALING COLLABORATIVE
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1348 COLLEEN AVE
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City | ARDEN HILLS
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State | MN
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Zip | 55112-1934
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Country | US
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Telephone | 651-456-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 1348 COLLEEN AVE
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City | ARDEN HILLS
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State | MN
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Zip | 55112-1934
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHA BOGGS
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Credential | MSW, LICSW
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Telephone | 763-229-4849
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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 |
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License Number State |
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