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General NPI Number Information
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NPI Number | 1245104793
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Entity Type | Individual
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Provider Name | NATALIE E POLAK MS
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Gender | Female
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 255 WESTVIEW DR
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City | WEST ST PAUL
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State | MN
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Zip | 55118-4505
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Country | US
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Telephone | 507-430-5930
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Fax |
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Provider Business Mailing Address
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Address Line | 10569 61ST ST NE
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City | ALBERTVILLE
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State | MN
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Zip | 55301-4534
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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