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NPI 1225115504

NPI 1225115504 : ARLENE E OBRIEN FINN MALP : EDEN PRAIRIE, MN

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General NPI Number Information
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    NPI Number           |    1225115504
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    Entity Type          |    Individual 
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    Provider Name        |    ARLENE E OBRIEN FINN MALP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    02/21/2024
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Provider Practice Location Address
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    Address Line         |    10440 SPYGLASS DR 
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    City                 |    EDEN PRAIRIE
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    State                |    MN
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    Zip                  |    55347
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    Country              |    US
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    Telephone            |    612-669-6688
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    Fax                  |    952-898-7813
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Provider Business Mailing Address
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    Address Line         |    10440 SPYGLASS DR 
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    City                 |    EDEN PRAIRIE
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    State                |    MN
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    Zip                  |    55347-4656
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    Country              |    US
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    Telephone            |    612-669-6688
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    Fax                  |    952-898-7813
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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       |    LP3659
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    License Number State |    MN
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