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NPI 1770811267

NPI 1770811267 : SHERI FAY VLIET LMFT : HUTCHINSON, MN

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General NPI Number Information
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    NPI Number           |    1770811267
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    Entity Type          |    Individual 
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    Provider Name        |    SHERI FAY VLIET LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/23/2009
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    Last Update Date     |    06/08/2010
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Provider Practice Location Address
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    Address Line         |    114 MAIN ST N STE 212 
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    City                 |    HUTCHINSON
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    State                |    MN
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    Zip                  |    55350-1819
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    Country              |    US
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    Telephone            |    320-234-0775
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    Fax                  |    320-234-7417
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Provider Business Mailing Address
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    Address Line         |    114 MAIN ST NE, SUITE 212 
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    City                 |    HUTCHINSON
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    State                |    MN
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    Zip                  |    55350
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    Country              |    US
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    Telephone            |    320-234-0775
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    Fax                  |    320-234-7417
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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       |    1378
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    License Number State |    MN
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