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General NPI Number Information
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NPI Number | 1578386900
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Entity Type | Individual
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Provider Name | BENJAMIN SEIM LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 3250 RICE ST
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City | SAINT PAUL
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State | MN
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Zip | 55126-3080
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Country | US
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Telephone | 651-212-4166
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Fax |
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Provider Business Mailing Address
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Address Line | 513 HEINEL DR
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City | ROSEVILLE
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State | MN
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Zip | 55113-2108
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Country | US
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Telephone | 320-319-5278
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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 | 4487
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License Number State | MN
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