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General NPI Number Information
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NPI Number | 1124176326
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Entity Type | Organization
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Legal Business Name | GREENSPON ASSOCIATES, P.A.
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Dates
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Enumeration Date | 01/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3601 PARK CENTER BLVD SUITE 128
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-2531
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Country | US
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Telephone | 952-929-1499
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Fax | 952-929-6097
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Provider Business Mailing Address
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Address Line | PO BOX 16325
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-0325
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Country | US
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Telephone | 952-929-1499
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Fax | 952-929-6097
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS STEPHEN GREENSPON
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Credential | PH.D.
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Telephone | 952-929-1499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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