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General NPI Number Information
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NPI Number | 1205996840
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Entity Type | Individual
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Provider Name | CATHERINE BUELTEL HOPEN M.A., L.P.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1821 UNIVERSITY AVE W SUITE N-464
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City | SAINT PAUL
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State | MN
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Zip | 55104-2801
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Country | US
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Telephone | 651-659-2942
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Fax |
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Provider Business Mailing Address
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Address Line | 14585 JOPPA AVE S
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City | SAVAGE
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State | MN
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Zip | 55378-3017
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Country | US
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Telephone | 612-752-8368
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP3539
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License Number State | MN
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