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General NPI Number Information
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NPI Number | 1649862624
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Entity Type | Individual
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Provider Name | RIKKI ALSTAD LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 199 COON RAPIDS BLVD NW STE 306
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City | COON RAPIDS
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State | MN
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Zip | 55433-5861
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Country | US
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Telephone | 612-202-6051
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Fax |
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Provider Business Mailing Address
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Address Line | 1491 KENT ST
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City | SAINT PAUL
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State | MN
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Zip | 55117-3508
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Country | US
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Telephone | 612-202-6051
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3555
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License Number State | MN
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