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General NPI Number Information
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NPI Number | 1194820225
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Entity Type | Individual
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Provider Name | STEPHANIE L TSCHIDA LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 7650 CURRELL BLVD SUITE 130
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City | WOODBURY
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State | MN
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Zip | 55125
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Country | US
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Telephone | 651-286-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 563 BIELENBERG DR STE 125
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City | WOODBURY
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State | MN
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Zip | 55125-4426
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Country | US
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Telephone | 651-829-6608
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Fax | 651-739-1998
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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 | 812
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License Number State | MN
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