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General NPI Number Information
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NPI Number | 1760549851
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Entity Type | Organization
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Legal Business Name | RAMSEY COUNTY MENTAL HEALTH CRISIS PROGRAM
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 215 OLD SIXTH STREET
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City | SAINT PAUL
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State | MN
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Zip | 55102
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Country | US
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Telephone | 651-215-2268
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Fax | 651-222-4581
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Provider Business Mailing Address
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Address Line | 215 OLD SIXTH STREET
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City | SAINT PAUL
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State | MN
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Zip | 55102
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Country | US
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Telephone | 651-215-2268
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Fax | 651-222-4581
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Authorized Official
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Title or Position | COUNSELOR
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Name | MR. ERIC FRANCIS BOONE
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Credential | LICSW
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Telephone | 612-285-2188
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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 | 10413
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License Number State | MN
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