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General NPI Number Information
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NPI Number | 1821165234
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY SERVICE OF ST. PAUL
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1633 7TH ST W
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City | SAINT PAUL
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State | MN
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Zip | 55102-4227
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Country | US
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Telephone | 651-698-0767
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Fax | 651-698-0162
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Provider Business Mailing Address
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Address Line | 1633 - 7TH ST. W.
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City | ST. PAUL
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State | MN
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Zip | 55102
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Country | US
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Telephone | 651-698-0767
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Fax | 651-698-0162
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RENA WAXMAN
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Credential | ACSW
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Telephone | 651-698-0767
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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 |
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License Number State | MN
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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 |
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License Number State | MN
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