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General NPI Number Information
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NPI Number | 1083995922
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Entity Type | Individual
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Provider Name | BRIAN PATRICK ZIRNGIBLE LMFT
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Gender | Male
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 1101 E 78TH ST SUITE 318
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City | BLOOMINGTON
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State | MN
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Zip | 55420-1400
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Country | US
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Telephone | 612-670-5848
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Fax |
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Provider Business Mailing Address
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Address Line | 414 S 8TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-1025
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Country | US
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Telephone | 612-339-9101
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Fax | 612-341-1664
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2154
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License Number State | MN
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