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General NPI Number Information
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NPI Number | 1750758983
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Entity Type | Organization
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Legal Business Name | KATHERINE H. MUELLNER, PLLC
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 6005 SALEM RD SW
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City | ROCHESTER
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State | MN
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Zip | 55902-8825
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Country | US
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Telephone | 507-281-3033
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Fax | 507-281-7692
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Provider Business Mailing Address
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Address Line | 6005 SALEM RD SW
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City | ROCHESTER
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State | MN
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Zip | 55902-8825
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Country | US
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Telephone | 507-281-3033
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Fax | 507-281-7692
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE MUELLNER
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Credential | LICSW
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Telephone | 507-281-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 507
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4226
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License Number State | MN
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