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General NPI Number Information
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NPI Number | 1275073439
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Entity Type | Individual
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Provider Name | MERRIE HASKINS MS, LPCC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 1919 UNIVERSITY AVE W STE 200
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City | SAINT PAUL
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State | MN
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Zip | 55104-3435
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Country | US
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Telephone | 651-266-7845
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Fax | 651-266-7850
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Provider Business Mailing Address
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Address Line | 2624 PROMONTORY PL E
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City | MAPLEWOOD
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State | MN
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Zip | 55119-5841
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Country | US
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Telephone | 612-704-2423
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 01468
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1468
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License Number State | MN
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