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General NPI Number Information
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NPI Number | 1164004479
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Entity Type | Individual
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Provider Name | SYDNEY KEELER M.S.ED., LPCC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1113 E FRANKLIN AVE STE 103
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-2975
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Country | US
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Telephone | 612-872-8086
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Fax | 612-208-1305
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Provider Business Mailing Address
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Address Line | 1213 E FRANKLIN AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-2923
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Country | US
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Telephone | 612-872-8086
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Fax | 612-208-1305
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4157
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License Number State | MN
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