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General NPI Number Information
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NPI Number | 1417740135
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Entity Type | Organization
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Legal Business Name | THE KALEIDOSCOPE VIEW, RELATIONAL THERAPY AND WELLNESS
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 229 JACKSON ST
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City | ANOKA
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State | MN
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Zip | 55303-2287
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Country | US
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Telephone | 303-630-9239
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 THOMAS AVE N
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City | MINNEAPOLIS
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State | MN
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Zip | 55412-2251
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Country | US
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Telephone | 612-275-4260
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Fax |
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Authorized Official
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Title or Position | EMPLOLYEE
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Name | HALEY BAGLEY
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Credential | LMFT
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Telephone | 612-275-4260
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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 |
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License Number State |
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