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General NPI Number Information
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NPI Number | 1235560095
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Entity Type | Organization
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Legal Business Name | S N HINRICHS LLC
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Dates
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Enumeration Date | 12/04/2013
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Last Update Date | 12/04/2013
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Provider Practice Location Address
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Address Line | 1935 COUNTY ROAD B2 W
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City | ROSEVILLE
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State | MN
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Zip | 55113-2729
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Country | US
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Telephone | 763-464-1248
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 RICE CREEK TER NE
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City | FRIDLEY
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State | MN
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Zip | 55432-4559
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Country | US
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Telephone | 763-464-1248
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERI HINRICHS
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Credential |
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Telephone | 763-464-1248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP5104
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License Number State | MN
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