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General NPI Number Information
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NPI Number | 1184513095
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Entity Type | Individual
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Provider Name | LAUREN EBERT LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 3217 HENNEPIN AVE STE 3
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-4695
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Country | US
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Telephone | 612-562-9096
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Fax |
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Provider Business Mailing Address
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Address Line | 112005 WARNER CIR
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City | CHASKA
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State | MN
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Zip | 55318-1431
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Country | US
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Telephone | 612-562-9096
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4667
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License Number State | MN
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