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General NPI Number Information
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NPI Number | 1922845452
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Entity Type | Individual
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Provider Name | TONYA JO REIN
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Gender |
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 09/15/2024
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Provider Practice Location Address
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Address Line | 821 3RD AVE SE
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City | ROCHESTER
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State | MN
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Zip | 55904-7340
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Country | US
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Telephone | 507-881-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 103 4TH AVE NW
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City | KASSON
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State | MN
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Zip | 55944-1118
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Country | US
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Telephone | 507-398-2585
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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 |
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License Number State | MN
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