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NPI 1255295333

NPI 1255295333 : SALINA RENNINGER, LLC : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1255295333
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    Entity Type          |    Organization 
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    Legal Business Name  |    SALINA RENNINGER, LLC 
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Dates
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    Enumeration Date     |    12/12/2025
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    475 CLEVELAND AVE N STE 200 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55104-5053
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    Country              |    US
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    Telephone            |    651-285-8378
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    Fax                  |    651-377-4346
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Provider Business Mailing Address
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    Address Line         |    475 CLEVELAND AVE N STE 200 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55104-5053
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    Country              |    US
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    Telephone            |    651-285-8378
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    Fax                  |    651-377-4346
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Authorized Official
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    Title or Position    |    OWNER, PHD, LP
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    Name                 |     SALINA  RENNINGER 
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    Credential           |    LP, PHD
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    Telephone            |    651-285-8378
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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       |    
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    License Number State |    
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