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General NPI Number Information
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NPI Number | 1619628054
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Entity Type | Organization
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Legal Business Name | PANORAMIC PERSPECTIVES THERAPY AND TRAINING, PA
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 17645 JUNIPER PATH STE 105
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City | LAKEVILLE
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State | MN
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Zip | 55044-7491
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Country | US
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Telephone | 952-600-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 17645 JUNIPER PATH STE 105
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City | LAKEVILLE
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State | MN
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Zip | 55044-7491
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Country | US
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Telephone | 952-600-8191
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHEILA KATHRYN ANDERSON
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Credential |
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Telephone | 952-600-8191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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