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General NPI Number Information
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NPI Number | 1841299443
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Entity Type | Organization
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Legal Business Name | COUNTY OF SCOTT
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 200 4TH AVE W
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City | SHAKOPEE
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State | MN
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Zip | 55379-1220
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Country | US
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Telephone | 952-496-8565
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Fax |
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Provider Business Mailing Address
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Address Line | 200 4TH AVE W
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City | SHAKOPEE
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State | MN
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Zip | 55379-1220
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEALTH AND HUMAN SERVICES DIRECTOR
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Name | BARBARA HOYT DAHL
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Credential |
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Telephone | 952-496-8151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 802196-1-MHC
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License Number State | MN
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