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General NPI Number Information
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NPI Number | 1912589896
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Entity Type | Individual
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Provider Name | STACEY LYNN RASMUSSEN CAPSW
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1 VETERANS DR
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2309
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Country | US
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Telephone | 612-467-3239
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Fax |
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Provider Business Mailing Address
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Address Line | 4315 TOWER DR
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City | EAU CLAIRE
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State | WI
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Zip | 54703-2153
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Country | US
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Telephone | 715-533-3522
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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 | 129827-121
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License Number State | WI
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