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General NPI Number Information
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NPI Number | 1861706863
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Entity Type | Organization
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Legal Business Name | EDINA COMFORT CARE MENTAL HEALTH WALK-IN CLINIC LLC
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 7401 METRO BLVD STE 145
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City | EDINA
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State | MN
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Zip | 55439-3061
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Country | US
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Telephone | 952-913-5403
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Fax | 952-531-3366
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Provider Business Mailing Address
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Address Line | 7401 METRO BLVD STE 145
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City | EDINA
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State | MN
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Zip | 55439-3061
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Country | US
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Telephone | 952-913-5403
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Fax | 952-531-3366
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. KAREN LEE ECKSTROM
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Credential | MSW, LICSW
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Telephone | 952-913-5403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10192
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License Number State | MN
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