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General NPI Number Information
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NPI Number | 1891604252
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Entity Type | Individual
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Provider Name | EMMA GRACE DOELL LGSW
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 304 BELLE AVE
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City | MANKATO
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State | MN
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Zip | 56001-5250
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Country | US
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Telephone | 507-735-6449
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Fax | 507-888-0001
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Provider Business Mailing Address
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Address Line | 2441 NORTHRIDGE DR
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City | NORTH MANKATO
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State | MN
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Zip | 56003-1612
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Country | US
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Telephone | 507-225-2206
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 32215
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License Number State | MN
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