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General NPI Number Information
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NPI Number | 1982093043
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Entity Type | Organization
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Legal Business Name | LAMOURE COUNTY SOCIAL SERVICES
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 202 4TH AVE NE
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City | LAMOURE
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State | ND
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Zip | 58458
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Country | US
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Telephone | 701-883-5301
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Fax | 701-883-4427
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Provider Business Mailing Address
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Address Line | 202 4TH AVE NE PO BOX 38
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City | LAMOURE
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State | ND
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Zip | 58458
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Country | US
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Telephone | 701-883-5301
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Fax | 701-883-4427
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | STEPHANIE VOIGHTMAN
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Credential | LSW
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Telephone | 701-883-5301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 38823
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License Number State | ND
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