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General NPI Number Information
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NPI Number | 1588739643
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Entity Type | Individual
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Provider Name | RICHARD JULIAN STUDER MA, LMFT, LP, LICSW
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1919 UNIVERSITY AVE W G6
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City | SAINT PAUL
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State | MN
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Zip | 55104-3453
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Country | US
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Telephone | 651-641-1555
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Fax | 651-641-0340
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Provider Business Mailing Address
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Address Line | 1516 W LAKE ST SUITE 2000S
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2554
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Country | US
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Telephone | 612-381-2494
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Fax | 612-381-2494
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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 | LP1132
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LICSW 6524
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT 109
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License Number State | MN
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