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General NPI Number Information
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NPI Number | 1568199206
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Entity Type | Individual
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Provider Name | MARGARET BOYER PHD, LP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 11/29/2022
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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 | 55435-5281
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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 | 721 N 1ST ST APT 522
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-4411
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Country | US
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Telephone | 734-646-9323
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP6874
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License Number State | MN
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