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General NPI Number Information
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NPI Number | 1821538521
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Entity Type | Individual
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Provider Name | LARISA ANN GARSKI LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 155 N MICHIGAN AVE STE 325
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City | CHICAGO
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State | IL
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Zip | 60601-7591
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Country | US
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Telephone | 651-764-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 BRYANT AVE S STE 108
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-2332
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Country | US
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Telephone | 651-206-4064
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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 |
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License Number State |
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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 | 3411
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.001122
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License Number State | IL
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