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General NPI Number Information
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NPI Number | 1598586422
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Entity Type | Individual
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Provider Name | ABIGAIL BARTHEL PHD, LP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 3340 REPUBLIC AVENUE SUITE 110
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City | MINNEAPOLIS
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State | MN
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Zip | 55426
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Country | US
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Telephone | 952-592-3984
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Fax |
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Provider Business Mailing Address
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Address Line | 6200 PENN AVE S APT 310
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City | RICHFIELD
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State | MN
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Zip | 55423-1175
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Country | US
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Telephone | 847-370-3259
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP7116
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License Number State | MN
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