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General NPI Number Information
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NPI Number | 1790728210
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Entity Type | Individual
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Provider Name | DENETTE M. NARUM MSW
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 1100 32ND AVE S STE B
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City | MOORHEAD
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State | MN
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Zip | 56560-5012
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Country | US
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Telephone | 218-979-9285
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 4TH ST S
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City | MOORHEAD
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State | MN
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Zip | 56560-4128
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Country | US
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Telephone | 218-979-9285
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11815
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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 | 5796
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License Number State | ND
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