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General NPI Number Information
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NPI Number | 1376494393
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Entity Type | Organization
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Legal Business Name | DIGNITY MENTAL HEALTH CLINIC PLLC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 8701 BLAISDELL AVE S STE 3
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City | BLOOMINGTON
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State | MN
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Zip | 55420-2821
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Country | US
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Telephone | 612-298-1271
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Fax | 651-846-4633
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Provider Business Mailing Address
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Address Line | 8701 BLAISDELL AVE S STE 3
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City | BLOOMINGTON
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State | MN
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Zip | 55420-2821
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Country | US
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Telephone | 612-298-1271
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Fax | 651-846-4633
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Authorized Official
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Title or Position | MSN, APRN, CNP, PMHNP-BC/PROVIDER
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Name | GERNINE PREVIL
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Credential | MSN,PMHNP-BC, FNP-BC
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Telephone | 612-298-1271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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