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General NPI Number Information
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NPI Number | 1144306614
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RESOURCES IN PSYCHOLOGY, PA
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2233 HAMLINE AVE N SUITE 110
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City | ROSEVILLE
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State | MN
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Zip | 55113-5009
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Country | US
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Telephone | 651-483-2522
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Fax |
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Provider Business Mailing Address
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Address Line | 2233 HAMLINE AVE N SUITE 110
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City | ROSEVILLE
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State | MN
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Zip | 55113-5009
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Country | US
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Telephone | 651-483-2522
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLGIST
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Name | MR. JEFFRY G FORD
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Credential | MA
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Telephone | 651-483-2522
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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 | LP0502
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License Number State | MN
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