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General NPI Number Information
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NPI Number | 1558910158
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Entity Type | Individual
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Provider Name | ANDREW NAJAFALIPOUR LMFT
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Gender | Male
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 3400 W 66TH ST STE 400
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City | EDINA
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State | MN
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Zip | 55435-2134
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Country | US
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Telephone | 612-672-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 15033 BUTTERNUT LN
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City | BURNSVILLE
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State | MN
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Zip | 55306-5011
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Country | US
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Telephone | 952-210-0119
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3596
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License Number State | MN
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