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General NPI Number Information
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NPI Number | 1902227580
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Entity Type | Individual
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Provider Name | HEATHER TRETTEL LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 3015 3RD ST N
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City | SAINT CLOUD
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State | MN
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Zip | 56303-4117
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Country | US
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Telephone | 320-293-4945
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Fax | 320-529-4320
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Provider Business Mailing Address
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Address Line | PO BOX 2390
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City | SAINT CLOUD
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State | MN
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Zip | 56302-2390
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Country | US
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Telephone | 320-293-4945
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Fax | 320-529-4320
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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 | 2441
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License Number State | MN
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