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General NPI Number Information
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NPI Number | 1588724801
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Entity Type | Organization
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Legal Business Name | SHERYL J. FREEMAN, LTD.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14581 GRAND AVE STE 204
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City | BURNSVILLE
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State | MN
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Zip | 55306-5733
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Country | US
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Telephone | 952-435-5782
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Fax | 952-435-5782
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Provider Business Mailing Address
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Address Line | 15017 ORCHARD DR
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City | BURNSVILLE
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State | MN
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Zip | 55306-4939
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Country | US
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Telephone | 952-435-5782
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Fax | 952-435-5782
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHERYL J FREEMAN
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Credential | LMFT
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Telephone | 952-435-5782
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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 | 1109
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License Number State | MN
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