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General NPI Number Information
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NPI Number | 1669082665
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Entity Type | Individual
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Provider Name | MARGARET GARDNER LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 5725 LOFTUS LN
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City | SAVAGE
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State | MN
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Zip | 55378-2717
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Country | US
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Telephone | 952-522-7340
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Fax | 952-952-6121
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Provider Business Mailing Address
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Address Line | 1900 SILVER LAKE RD NW STE 110
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-1789
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Country | US
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Telephone | 612-464-6671
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Fax | 651-628-0411
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4552
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License Number State | MN
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