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General NPI Number Information
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NPI Number | 1922971993
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Entity Type | Individual
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Provider Name | JAMIE ROSE ST CLAIRE MSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1913 S WASHINGTON ST STE C
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City | GRAND FORKS
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State | ND
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Zip | 58201-6339
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Country | US
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Telephone | 701-757-1425
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Fax |
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Provider Business Mailing Address
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Address Line | 2454 CUMBERLAND RD
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City | GRAND FORKS
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State | ND
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Zip | 58201-6125
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Country | US
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Telephone |
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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 | 35236
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6480
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License Number State | ND
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