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General NPI Number Information
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NPI Number | 1861935306
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Entity Type | Organization
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Legal Business Name | NORTE THERAPY SERVICES LLC
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 2233 HAMLINE AVE N
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City | SAINT PAUL
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State | MN
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Zip | 55113-5009
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Country | US
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Telephone | 651-353-0805
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Fax |
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Provider Business Mailing Address
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Address Line | 2839 EAGLE VALLEY CIR
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City | WOODBURY
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State | MN
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Zip | 55129-4264
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Country | US
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Telephone | 651-353-0805
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | BLANCA ESTELA SVEDBERG
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Credential | LPCC
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Telephone | 651-353-0805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC00141
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License Number State | MN
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