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General NPI Number Information
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NPI Number | 1346459260
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Entity Type | Organization
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Legal Business Name | CONSULTATION & DESIGN LLC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 202 7TH ST E
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City | HASTINGS
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State | MN
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Zip | 55033-2103
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Country | US
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Telephone | 651-438-2680
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Fax | 651-319-0106
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Provider Business Mailing Address
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Address Line | PO BOX 443
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City | PLAINVIEW
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State | MN
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Zip | 55964-0443
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Country | US
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Telephone | 651-438-2680
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Fax | 651-319-0106
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Authorized Official
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Title or Position | LICENSED MARRIAGE AND FAM THERAPIST
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Name | KATHLEEN MARY HENRY
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Credential | L.M.F.T
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Telephone | 651-438-2680
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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 | 0639
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License Number State | MN
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