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General NPI Number Information
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NPI Number | 1891858916
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Entity Type | Individual
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Provider Name | RUTH ANN ISCHE MA LICSW
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9531 W 78TH STREET SUITE 145 EDEN PRAIRIE COUNSELLING SR RUTH ANN ISCHE MA
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3828
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Country | US
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Telephone | 952-891-9943
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Fax | 952-943-9750
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Provider Business Mailing Address
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Address Line | 73 GARDEN DRIVE RUTH ANN ISCHE
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City | BURNSVILLE
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State | MN
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Zip | 55337-4145
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Country | US
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Telephone | 952-431-3091
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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 | 6713
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License Number State | MN
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