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General NPI Number Information
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NPI Number | 1669113395
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Entity Type | Organization
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Legal Business Name | NUVYB CONSULTING
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 393 DUNLAP ST N STE 825
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City | SAINT PAUL
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State | MN
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Zip | 55104-4343
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Country | US
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Telephone | 612-552-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 1394 OAKDALE AVE
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City | WEST SAINT PAUL
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State | MN
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Zip | 55118-3210
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Country | US
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Telephone | 651-295-1925
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | TARA ANN MARSHALL
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Credential | LMFT
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Telephone | 612-552-7800
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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 |
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License Number State |
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