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General NPI Number Information
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NPI Number | 1639446875
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Entity Type | Individual
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Provider Name | SUZANNIE M JAMES-SVEBACK LAMFT
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Gender | Female
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 18986 LAKE DR E
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City | CHANHASSEN
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State | MN
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Zip | 55317-9348
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Country | US
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Telephone | 952-767-3678
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Fax | 612-869-6743
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Provider Business Mailing Address
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Address Line | 18986 LAKE DR E
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City | CHANHASSEN
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State | MN
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Zip | 55317-9348
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Country | US
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Telephone | 952-767-3678
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Fax | 612-869-6743
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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 | 2362
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License Number State | MN
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