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General NPI Number Information
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NPI Number | 1558150995
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Entity Type | Organization
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Legal Business Name | TWIN CITIES ADHD
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4841 YORK AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55410
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Country | US
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Telephone | 612-564-2108
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Fax |
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Provider Business Mailing Address
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Address Line | 3109 W 50TH ST # 294
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City | MINNEAPOLIS
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State | MN
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Zip | 55410-2102
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Country | US
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Telephone | 612-564-2108
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAIGE KIRKANSON
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Credential | MSW, LICSW
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Telephone | 612-564-2108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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