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General NPI Number Information
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NPI Number | 1417746272
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Entity Type | Individual
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Provider Name | MARINA FUJIMOTO
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 11 E SUPERIOR ST STE 415
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City | DULUTH
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State | MN
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Zip | 55802-3008
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Country | US
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Telephone | 218-249-0595
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Fax |
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Provider Business Mailing Address
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Address Line | 1728 E 1ST ST APT 5
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City | DULUTH
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State | MN
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Zip | 55812-1720
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Country | US
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Telephone | 218-491-5289
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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