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General NPI Number Information
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NPI Number | 1891267787
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Entity Type | Individual
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Provider Name | ALICIA DORN LCPC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10621 165TH ST W
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City | LAKEVILLE
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State | MN
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Zip | 55044-3520
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Country | US
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Telephone | 763-210-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 METRO BLVD STE 550
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City | MINNEAPOLIS
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State | MN
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Zip | 55439-1353
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Country | US
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Telephone | 443-977-4885
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC8143
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License Number State | MD
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