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General NPI Number Information
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NPI Number | 1538389283
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Entity Type | Individual
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Provider Name | DONALD F. RAHE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5200 WILLSON RD SUITE 405
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City | EDINA
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State | MN
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Zip | 55424-1332
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Country | US
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Telephone | 952-929-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 5613 BERNARD PL
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City | EDINA
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State | MN
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Zip | 55436-2450
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Country | US
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Telephone | 952-922-4419
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP1837
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License Number State | MN
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