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General NPI Number Information
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NPI Number | 1043042005
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Entity Type | Individual
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Provider Name | EMILY KAREVOLD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 6701 PARKWAY CIR STE 300
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-2849
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Country | US
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Telephone | 612-767-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 UNIVERSITY AVE SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-3325
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Country | US
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Telephone | 612-767-7222
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2738
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | LICC-3915
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License Number State | MN
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