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General NPI Number Information
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NPI Number | 1649938317
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Entity Type | Individual
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Provider Name | CLAIRE DEBENEDETTO MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 5123 W 98TH ST # 1016
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City | MINNEAPOLIS
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State | MN
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Zip | 55437-2040
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Country | US
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Telephone | 612-208-3472
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Fax |
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Provider Business Mailing Address
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Address Line | 8593 CHANHASSEN HILLS DR S
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City | CHANHASSEN
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State | MN
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Zip | 55317-8108
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Country | US
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Telephone | 612-208-3472
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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 | 4220
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License Number State | MN
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