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General NPI Number Information
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NPI Number | 1740674605
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Entity Type | Organization
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Legal Business Name | ENCOURAGING LIFE RESOURCES
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 03/27/2015
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Provider Practice Location Address
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Address Line | 1550 E 78TH ST
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City | RICHFIELD
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State | MN
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Zip | 55423-4638
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Country | US
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Telephone | 763-232-0048
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Fax |
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Provider Business Mailing Address
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Address Line | 13055 RIVERDALE DR NW SUITE 500 PMB 333
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City | COON RAPIDS
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State | MN
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Zip | 55448-8403
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Country | US
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Telephone | 763-232-0048
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DR. RUTH K DAHLE BUELOW
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Credential | LMFT
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Telephone | 763-232-0048
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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 | 1320
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License Number State | MN
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