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General NPI Number Information
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NPI Number | 1427178490
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Entity Type | Organization
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Legal Business Name | HELPING CHILDREN AND FAMILIES
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5200 WILLSON RD SUITE 205
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City | EDINA
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State | MN
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Zip | 55424-1332
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Country | US
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Telephone | 952-922-3010
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Fax | 952-920-4261
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Provider Business Mailing Address
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Address Line | 5200 WILLSON RD SUITE 205
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City | EDINA
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State | MN
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Zip | 55424-1332
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Country | US
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Telephone | 952-922-3010
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Fax | 952-920-4261
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA LYNN JOHNSON
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Credential | PSY.D.
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Telephone | 952-922-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4295
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License Number State | MN
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