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General NPI Number Information
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NPI Number | 1740893957
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Entity Type | Individual
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Provider Name | AMZIE ELIZABETH REEVES MA
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Gender | Female
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 1729 N 2ND ST STE 302
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City | MINNEAPOLIS
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State | MN
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Zip | 55411-3448
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Country | US
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Telephone | 612-470-5881
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Fax | 612-389-9637
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Provider Business Mailing Address
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Address Line | 3534 BRYANT AVE N
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City | MINNEAPOLIS
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State | MN
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Zip | 55412-2542
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Country | US
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Telephone | 612-743-6959
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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 | 3977
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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