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General NPI Number Information
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NPI Number | 1750161295
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Entity Type | Organization
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Legal Business Name | ONYX PATHWAYS, LLC
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 03/10/2024
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Provider Practice Location Address
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Address Line | 12800 WHITEWATER DR STE 100
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City | MINNETONKA
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State | MN
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Zip | 55343-9347
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Country | US
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Telephone | 952-856-0405
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Fax |
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Provider Business Mailing Address
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Address Line | 12800 WHITEWATER DR STE 100
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City | MINNETONKA
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State | MN
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Zip | 55343-9347
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Country | US
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Telephone | 952-856-0405
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SIERRA NICOLE CARTER
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Credential | LICSW
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Telephone | 952-856-0405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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