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General NPI Number Information
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NPI Number | 1265856801
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Entity Type | Organization
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Legal Business Name | RESILIENCY AND HEALTH INSTITUTE, LLC
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 700 COMMERCE DR SUITE 290
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City | WOODBURY
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State | MN
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Zip | 55125-9232
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Country | US
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Telephone | 651-714-3848
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Fax | 651-344-0820
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Provider Business Mailing Address
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Address Line | 700 COMMERCE DR SUITE 290
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City | WOODBURY
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State | MN
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Zip | 55125-9232
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Country | US
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Telephone | 651-714-3848
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Fax | 651-344-0820
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Authorized Official
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Title or Position | OWNER
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Name | SARAH BETH FUERST
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Credential | M.A., LP
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Telephone | 651-714-3848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT 1379
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP5109
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP5261
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License Number State | MN
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