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NPI 1649780362

NPI 1649780362 : MARGARET FLAGET-GREENER, PSYD LLC : MINNEAPOLIS, MN

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General NPI Number Information
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    NPI Number           |    1649780362
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARGARET FLAGET-GREENER, PSYD LLC 
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Dates
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    Enumeration Date     |    10/08/2017
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    Last Update Date     |    10/30/2023
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Provider Practice Location Address
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    Address Line         |    5200 WILLSON RD STE 307 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55424-1344
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    Country              |    US
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    Telephone            |    651-234-0722
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9111 STANLEN RD 
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    City                 |    ST LOUIS PARK
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    State                |    MN
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    Zip                  |    55426-2351
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    Country              |    US
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    Telephone            |    610-675-4249
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL PSYCHOLOGIST
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    Name                 |    DR. MARGARET ANNE FLAGET-GREENER 
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    Credential           |    PSYD
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    Telephone            |    651-234-0722
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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       |    LP5625
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    License Number State |    MN
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