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General NPI Number Information
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NPI Number | 1780530030
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Entity Type | Individual
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Provider Name | ANNA THIER
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 1900 SILVER LAKE RD NW
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-1786
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Country | US
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Telephone | 651-412-4138
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 RICE CREEK PKWY APT 421
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City | SAINT PAUL
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State | MN
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Zip | 55126-5511
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 306597
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License Number State | MN
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