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General NPI Number Information
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NPI Number | 1043317837
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Entity Type | Individual
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Provider Name | GAIL DELWYN HARTMAN L.P., M.A.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1409 WILLOW ST SUITE 501
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-2269
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Country | US
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Telephone | 612-871-3371
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Fax |
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Provider Business Mailing Address
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Address Line | 4127 VINCENT AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55410-1141
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Country | US
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Telephone | 612-928-0074
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1781
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1318
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0143
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License Number State | MN
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