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General NPI Number Information
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NPI Number | 1265155824
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Entity Type | Organization
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Legal Business Name | BECOMING TOGETHER
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 9531 W 78TH ST
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3810
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Country | US
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Telephone | 952-395-3290
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Fax | 952-214-7490
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Provider Business Mailing Address
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Address Line | 9531 W 78TH ST
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3810
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Country | US
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Telephone | 952-395-3290
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Fax | 952-214-7490
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | REBEKAH ANN MCNATTIN
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Credential |
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Telephone | 952-395-3290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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