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General NPI Number Information
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NPI Number | 1063386258
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Entity Type | Organization
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Legal Business Name | ESMERALDA PLLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2800 E 40TH ST STE 1
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-3186
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Country | US
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Telephone | 763-516-1043
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 E 40TH ST UNIT 1
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-3082
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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 | PSYCHOTHERAPIST
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Name | ESMERALDA FLORES BARRAZA
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Credential | MA, LPCC
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Telephone | 763-516-1043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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