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General NPI Number Information
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NPI Number | 1427552025
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Entity Type | Organization
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Legal Business Name | EMMA NADLER, L.L.C.
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 700 TWELVE OAKS CENTER DR. #263
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City | WAYZATA
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State | MN
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Zip | 55391
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Country | US
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Telephone | 612-636-0275
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 DEEPHAVEN AVE
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City | WAYZATA
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State | MN
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Zip | 55391
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Country | US
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Telephone | 612-636-0275
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Fax |
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Authorized Official
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Title or Position | OWNER AND PSYCHOTHERAPIST
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Name | MRS. ELIZABETH NADLER
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Credential | LPCC
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Telephone | 612-636-0275
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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 | CC00187
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License Number State | MN
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