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General NPI Number Information
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NPI Number | 1104702372
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Entity Type | Individual
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Provider Name | EMILY HAIDER MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3825 CEDAR GROVE PKWY STE 1100
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City | EAGAN
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State | MN
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Zip | 55122-1469
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Country | US
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Telephone | 612-279-8481
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Fax | 612-444-5561
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Provider Business Mailing Address
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Address Line | 2839 CENTRAL AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-2951
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5120
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License Number State | MN
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