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NPI 1891858874

NPI 1891858874 : DOROTHEE M ISCHLER DMFT, LMFT : BLOOMINGTON, MN

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General NPI Number Information
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    NPI Number           |    1891858874
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    Entity Type          |    Individual 
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    Provider Name        |    DOROTHEE M ISCHLER DMFT, LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/19/2006
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    Last Update Date     |    08/07/2023
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Provider Practice Location Address
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    Address Line         |    3601 MINNESOTA DR STE 170 
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    City                 |    BLOOMINGTON
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    State                |    MN
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    Zip                  |    55435-5202
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    Country              |    US
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    Telephone            |    612-924-3807
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    220 DIVISION ST S 
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    City                 |    NORTHFIELD
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    State                |    MN
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    Zip                  |    55057-2046
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    Country              |    US
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    Telephone            |    507-210-4984
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    Fax                  |    507-645-6151
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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       |    701
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT701
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    License Number State |    MN
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