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General NPI Number Information
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NPI Number | 1144938960
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Entity Type | Organization
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Legal Business Name | NICHOLAS FLIER LLC
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 821 RAYMOND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55114-1503
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Country | US
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Telephone | 612-860-3568
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Fax |
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Provider Business Mailing Address
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Address Line | 14808 56TH ST N
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City | OAK PARK HEIGHTS
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State | MN
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Zip | 55082-6706
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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 | LICENSED PROFESSIONAL COUNSELOR
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Name | NICHOLAS DEAN FLIER
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Credential | LPCC
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Telephone | 612-860-3568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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