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NPI 1700548625

NPI 1700548625 : SHILOH TOREA FINCH : MINNEAPOLIS, MN

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General NPI Number Information
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    NPI Number           |    1700548625
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    Entity Type          |    Individual 
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    Provider Name        |    SHILOH TOREA FINCH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/07/2021
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    Last Update Date     |    05/28/2025
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Provider Practice Location Address
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    Address Line         |    3252 BRYANT AVE S 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55408-3607
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    Country              |    US
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    Telephone            |    612-284-4291
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4500 PARK GLEN RD STE 155 
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    City                 |    SAINT LOUIS PARK
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    State                |    MN
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    Zip                  |    55416-4888
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    Country              |    US
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    Telephone            |    952-836-7422
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    4965
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    License Number State |    MN
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