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NPI 1740177898

NPI 1740177898 : MARISHA ANN WEIHE MFT : GOLDEN VALLEY, MN

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General NPI Number Information
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    NPI Number           |    1740177898
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    Entity Type          |    Individual 
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    Provider Name        |    MARISHA ANN WEIHE MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2025
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    Last Update Date     |    06/20/2025
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Provider Practice Location Address
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    Address Line         |    8401 WAYZATA BLVD 
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    City                 |    GOLDEN VALLEY
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    State                |    MN
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    Zip                  |    55426-1343
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    Country              |    US
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    Telephone            |    763-544-1006
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    Fax                  |    763-544-1008
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Provider Business Mailing Address
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    Address Line         |    1200 GOODRICH AVE 
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    City                 |    SAINT PAUL
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    State                |    MN
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    Zip                  |    55105-2726
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    Country              |    US
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    Telephone            |    651-278-6898
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    4771
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    License Number State |    MN
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