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General NPI Number Information
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NPI Number | 1720121254
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Entity Type | Individual
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Provider Name | SHEILA E MERZER MA LP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4820 MINNETONKA BLVD SUITE 200
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-5707
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Country | US
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Telephone | 952-928-7811
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Fax | 952-928-7891
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Provider Business Mailing Address
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Address Line | 4820 MINNETONKA BLVD SUITE 200
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-5707
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Country | US
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Telephone | 952-928-7811
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Fax | 952-928-7891
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | LP1825
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License Number State | MN
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