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General NPI Number Information
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NPI Number | 1386045276
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Entity Type | Individual
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Provider Name | NATHAN CZAIA MA, LPCC
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Gender | Male
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 659 BIELENBERG DR
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City | WOODBURY
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State | MN
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Zip | 55125-1706
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Country | US
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Telephone | 651-259-9700
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Fax | 651-259-9780
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Provider Business Mailing Address
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Address Line | 9400 ZANE AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1814
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Country | US
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Telephone | 637-762-8800
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Fax | 763-315-4669
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC00797
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License Number State | MN
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