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General NPI Number Information
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NPI Number | 1821615147
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Entity Type | Organization
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Legal Business Name | FLICK CONSULTATION GROUP PLLC
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 300 3RD AVE SE STE 201
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City | ROCHESTER
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State | MN
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Zip | 55904-4632
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Country | US
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Telephone | 507-216-3750
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Fax | 507-776-5036
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Provider Business Mailing Address
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Address Line | PO BOX 366
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City | PINE ISLAND
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State | MN
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Zip | 55963-0366
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Country | US
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Telephone | 507-216-3750
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Fax | 507-776-5036
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN KENNETH FLICK
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Credential | MSW, LICSW
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Telephone | 507-216-3750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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