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General NPI Number Information
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NPI Number | 1750786877
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Entity Type | Organization
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Legal Business Name | FOSTER EDDY WELLS COUNTY SOCIAL SERVICES
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Dates
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Enumeration Date | 10/31/2014
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Last Update Date | 10/31/2014
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Provider Practice Location Address
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Address Line | 600 RAILWAY ST N DEPT 266
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City | FESSENDEN
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State | ND
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Zip | 58438-7427
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Country | US
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Telephone | 701-547-3694
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Fax |
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Provider Business Mailing Address
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Address Line | 600 RAILWAY ST N DEPT 266
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City | FESSENDEN
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State | ND
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Zip | 58438-7427
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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 | SOCIAL WORKER
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Name | MS. KELSEY PATTERSON
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Credential | LSW
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Telephone | 701-547-3694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 4985
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 4985
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License Number State | ND
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