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General NPI Number Information
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NPI Number | 1831909175
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Entity Type | Individual
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Provider Name | SUSAN JANE HEMMESCH
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 3535 40TH AVE NW STE 210
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City | ROCHESTER
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State | MN
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Zip | 55901-1769
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Country | US
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Telephone | 507-516-0227
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Fax | 507-516-0228
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Provider Business Mailing Address
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Address Line | 813 48TH AVE NW
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City | ROCHESTER
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State | MN
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Zip | 55901-6517
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Country | US
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Telephone | 507-923-3726
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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 | 33626
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License Number State | MN
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