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General NPI Number Information
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NPI Number | 1750478574
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Entity Type | Individual
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Provider Name | RACHEL GREENE LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 8085 WAYZATA BLVD STE 215
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City | GOLDEN VALLEY
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State | MN
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Zip | 55426-1457
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Country | US
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Telephone | 651-387-5312
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Fax | 651-493-2798
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Provider Business Mailing Address
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Address Line | 5197 BALD EAGLE AVE
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City | WHITE BEAR TOWNSHIP
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State | MN
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Zip | 55110-6523
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Country | US
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Telephone | 651-773-3533
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Fax | 651-748-7990
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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 | 16284
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1215
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License Number State | MN
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