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General NPI Number Information
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NPI Number | 1841568110
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Entity Type | Individual
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Provider Name | KELLY L KARELS LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 1061 GRAND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-3002
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Country | US
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Telephone | 651-210-9652
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Fax |
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Provider Business Mailing Address
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Address Line | 130 DEMONT AVE E APT 148
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City | LITTLE CANADA
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State | MN
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Zip | 55117-1544
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Country | US
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Telephone | 651-210-9652
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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 | 4330
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License Number State | MN
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