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General NPI Number Information
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NPI Number | 1750552196
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Entity Type | Individual
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Provider Name | SARAH BISSON LEITSCHUH MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 4590 SCOTT TRL SUITE 200
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City | EAGAN
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State | MN
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Zip | 55122-3331
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Country | US
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Telephone | 952-457-2322
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 240711
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City | APPLE VALLEY
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State | MN
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Zip | 55124-0711
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Country | US
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Telephone | 952-457-2322
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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 | 1771
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License Number State | MN
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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 | LMFT#1771
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License Number State | MN
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