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NPI 1558087387

NPI 1558087387 : VICTORIA LYNN NOHL MA : EDINA, MN

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General NPI Number Information
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    NPI Number           |    1558087387
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA LYNN NOHL MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2022
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    Last Update Date     |    10/13/2022
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Provider Practice Location Address
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    Address Line         |    3601 MINNESOTA DR STE 575 
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55435-5213
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    Country              |    US
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    Telephone            |    612-223-8898
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3909 ALDRICH AVE S UNIT 12 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55409-1467
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    Country              |    US
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    Telephone            |    612-203-0394
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    2640
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    License Number State |    MN
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