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General NPI Number Information
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NPI Number | 1881500072
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Entity Type | Individual
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Provider Name | MRS. KIMBERLY MAE CZARNESKI
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 130 W SUPERIOR ST STE 760
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City | DULUTH
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State | MN
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Zip | 55802-2033
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Country | US
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Telephone | 218-552-4469
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Fax |
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Provider Business Mailing Address
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Address Line | 4835 HIGHWAY 73
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City | FLOODWOOD
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State | MN
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Zip | 55736-8416
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Country | US
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Telephone | 920-915-2960
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3857
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License Number State | MN
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