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General NPI Number Information
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NPI Number | 1194849414
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Entity Type | Individual
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Provider Name | SHARON ANNE STEIN MCNAMARA ED.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 4700 LEXINGTON AVE N STE B1A
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City | SAINT PAUL
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State | MN
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Zip | 55126-5867
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Country | US
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Telephone | 651-698-1799
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Fax | 651-481-3209
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Provider Business Mailing Address
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Address Line | 5563 PARK PLACE DR
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City | SHOREVIEW
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State | MN
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Zip | 55126-9126
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Country | US
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Telephone | 651-698-1799
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Fax | 651-481-3209
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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 | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | LP2991
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP2991
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | LP2991
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | LP2991
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License Number State | MN
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