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General NPI Number Information
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NPI Number | 1225181704
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Entity Type | Organization
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Legal Business Name | HMONG AMERICAN FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 23 EMPIRE DR SUITE 105
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City | SAINT PAUL
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State | MN
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Zip | 55103-1856
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Country | US
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Telephone | 651-343-5929
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Fax | 651-458-5255
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Provider Business Mailing Address
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Address Line | 23 EMPIRE DR SUITE 105
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City | SAINT PAUL
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State | MN
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Zip | 55103-1856
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Country | US
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Telephone | 651-343-5929
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Fax | 651-458-5255
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Authorized Official
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Title or Position | THERAPIST
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Name | MANA VUE
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Credential | LMFT
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Telephone | 651-343-5929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1470
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License Number State | MN
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