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General NPI Number Information
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NPI Number | 1659961498
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Entity Type | Individual
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Provider Name | SUSAN MIHWA TOWNSEND HAFFNER APRN, CNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 621 W LAKE ST STE 350
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2952
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Country | US
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Telephone | 612-979-2276
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Fax | 651-925-0427
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Provider Business Mailing Address
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Address Line | 621 W LAKE ST STE 350
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2952
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Country | US
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Telephone | 612-979-2276
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Fax | 651-925-0427
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7990
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License Number State | MN
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