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General NPI Number Information
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NPI Number | 1841389798
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Entity Type | Organization
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Legal Business Name | PROJECT PATHFINDER INC.
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 570 ASBURY ST STE 300
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City | SAINT PAUL
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State | MN
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Zip | 55104-1851
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Country | US
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Telephone | 651-644-8515
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Fax | 651-644-3451
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Provider Business Mailing Address
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Address Line | 570 ASBURY ST STE 300
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City | SAINT PAUL
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State | MN
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Zip | 55104-1851
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Country | US
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Telephone | 651-644-8515
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Fax | 651-644-3451
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DIANE NEAL
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Credential | LPCC
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Telephone | 651-644-8515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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