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General NPI Number Information
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NPI Number | 1851031397
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Entity Type | Individual
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Provider Name | NICKY BESETTE LCSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 500 DAKOTA AVE STE 106
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City | WAHPETON
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State | ND
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Zip | 58075-4444
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Country | US
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Telephone | 17-730-4395
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33
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City | ABERCROMBIE
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State | ND
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Zip | 58001-0033
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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 |
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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 | 4849
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License Number State | ND
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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 | 24305
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License Number State | MN
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