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General NPI Number Information
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NPI Number | 1477929438
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Entity Type | Organization
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Legal Business Name | JANET KELSON
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 6043 HUDSON RD SUITE 140P
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City | WOODBURY
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State | MN
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Zip | 55125-1018
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Country | US
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Telephone | 651-329-9941
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Fax |
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Provider Business Mailing Address
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Address Line | 486 BLUEBIRD DR N
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City | HUDSON
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State | WI
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Zip | 54016-6848
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Country | US
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Telephone | 651-329-9941
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | JANET LYNN KELSON
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Credential | LMFT
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Telephone | 651-329-9941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 898-124
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1181
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License Number State | MN
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