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NPI 1386592921

NPI 1386592921 : MICHAEL JAMES SKINNER LMFT : EDINA, MN

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General NPI Number Information
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    NPI Number           |    1386592921
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL JAMES SKINNER LMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/19/2026
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    Last Update Date     |    03/19/2026
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Provider Practice Location Address
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    Address Line         |    7505 METRO BLVD STE 505 
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55439-3018
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    Country              |    US
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    Telephone            |    651-271-1665
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    Fax                  |    612-999-1767
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Provider Business Mailing Address
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    Address Line         |    7500 OLSON MEMORIAL HWY STE 300 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55427-4888
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    Country              |    US
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    Telephone            |    612-384-4061
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    Fax                  |    612-999-1767
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    4718
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    License Number State |    MN
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