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General NPI Number Information
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NPI Number | 1558809137
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Entity Type | Individual
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Provider Name | TUONG NGUYEN SETALA PSYD LP LMFT ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 5354 PARKDALE DR
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City | MINNEAPOLIS
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State | MN
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Zip | 55416-1603
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Country | US
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Telephone | 651-645-5323
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 455 BOX 208
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City | FPO
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State | AP
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Zip | 96540-0003
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Country | US
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Telephone | 671-344-9340
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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 | LP6640
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3315
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License Number State | MN
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