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NPI 1356260434

NPI 1356260434 : ROBERT MCCAULEY LLC : SAINT PAUL, MN

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General NPI Number Information
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    NPI Number           |    1356260434
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT MCCAULEY LLC 
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Dates
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    Enumeration Date     |    07/13/2026
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    Last Update Date     |    07/13/2026
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Provider Practice Location Address
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    Address Line         |    2303 WYCLIFF ST 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55114-1272
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    Country              |    US
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    Telephone            |    612-208-7294
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7320 JACKSON ST NE 
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    City                 |    FRIDLEY
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    State                |    MN
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    Zip                  |    55432-3207
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    Country              |    US
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    Telephone            |    309-825-0538
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER / PSYCHOTHERAPIST
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    Name                 |     ROBERT  MCCAULEY 
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    Credential           |    LICSW CST MSW MED
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    Telephone            |    309-825-0538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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