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General NPI Number Information
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NPI Number | 1679394167
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Entity Type | Organization
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Legal Business Name | DAVID COMPARETTO LLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 680 COMMERCE DR
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City | WOODBURY
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State | MN
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Zip | 55125-4501
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Country | US
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Telephone | 651-308-5586
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Fax |
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Provider Business Mailing Address
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Address Line | 10968 EAGLE VIEW CIR
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City | WOODBURY
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State | MN
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Zip | 55129-4296
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Country | US
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Telephone | 651-308-5586
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID COMPARETTO
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Credential | LMFT
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Telephone | 651-308-5586
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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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