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General NPI Number Information
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NPI Number | 1457914459
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Entity Type | Individual
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Provider Name | ELIZABETH KAY HABIGER
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Gender | Female
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 2080 WOODDALE DR STE 200
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City | WOODBURY
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State | MN
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Zip | 55125-2920
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Country | US
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Telephone | 651-201-2468
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 WOODDALE DR STE 200
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City | WOODBURY
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State | MN
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Zip | 55125-2920
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Country | US
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Telephone | 651-201-2468
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-63567
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License Number State | MN
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