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General NPI Number Information
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NPI Number | 1437466240
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Entity Type | Organization
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Legal Business Name | WHAT IF COUNSELING
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 7900 INTERNATIONAL DR #287
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1510
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Country | US
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Telephone | 651-278-7607
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Fax | 952-854-8437
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Provider Business Mailing Address
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Address Line | 7900 INTERNATIONAL DR #287
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1510
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Country | US
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Telephone | 651-278-7607
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Fax | 952-854-8437
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAROLYNNE MOFFAT
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Credential | M.A, LMFT
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Telephone | 651-278-7607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1737
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License Number State | MN
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