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General NPI Number Information
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NPI Number | 1902869340
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Entity Type | Individual
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Provider Name | KRISTI MAE JOHNSON ZEMPEL MSW LICSW MBA
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Gender | Female
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 133 2ND AVE SW
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City | CAMBRIDGE
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State | MN
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Zip | 55008-1502
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Country | US
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Telephone | 763-689-9407
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Fax |
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Provider Business Mailing Address
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Address Line | 23391 TAMARACK ST NW
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City | SAINT FRANCIS
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State | MN
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Zip | 55070-8621
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Country | US
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Telephone | 612-619-2898
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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 | 13404
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License Number State | MN
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