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General NPI Number Information
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NPI Number | 1104868421
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Entity Type | Individual
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Provider Name | TRICIA L. AIKEN PSYD, LP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 302 S 2ND ST
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City | MANKATO
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State | MN
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Zip | 56001-3605
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Country | US
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Telephone | 507-388-8114
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Fax | 507-387-7368
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Provider Business Mailing Address
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Address Line | 302 S 2ND ST
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City | MANKATO
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State | MN
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Zip | 56001-3605
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Country | US
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Telephone | 507-388-8114
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Fax | 507-387-7368
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP4540
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License Number State | MN
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