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General NPI Number Information
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NPI Number | 1053034009
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Entity Type | Organization
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Legal Business Name | DULUTH PERINATAL, PLLC
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 324 W SUPERIOR ST STE 509
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City | DULUTH
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State | MN
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Zip | 55802-1725
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Country | US
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Telephone | 218-264-4665
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Fax | 218-264-3588
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Provider Business Mailing Address
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Address Line | 324 W SUPERIOR ST STE 509
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City | DULUTH
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State | MN
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Zip | 55802-1725
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Country | US
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Telephone | 218-264-4665
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Fax | 218-264-3588
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Authorized Official
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Title or Position | OWNER, MARRIAGE & FAMILY THERAPIST
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Name | CELLESTE SCHNELLBACH
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Credential | MS, LMFT, PMH-C
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Telephone | 701-330-2616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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