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General NPI Number Information
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NPI Number | 1487319240
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Entity Type | Organization
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Legal Business Name | RENAISSANCE CONSULTING MN LLC
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 30 1ST AVE NE UNIT 1
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City | BUFFALO
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State | MN
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Zip | 55313-1515
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Country | US
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Telephone | 612-699-7990
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Fax |
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Provider Business Mailing Address
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Address Line | 19044 XAVIER ST NW
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City | ELK RIVER
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State | MN
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Zip | 55330-2871
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Country | US
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Telephone | 763-202-9271
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHRISTINE JUNOD
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Credential | LMFT
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Telephone | 612-699-7990
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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 |
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License Number State |
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