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General NPI Number Information
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NPI Number | 1902267784
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Entity Type | Organization
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Legal Business Name | ANNA VOGEL COUNSELING LLC
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 5275 EDINA INDUSTRIAL BLVD STE 124
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City | EDINA
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State | MN
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Zip | 55439-2903
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Country | US
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Telephone | 612-518-1701
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Fax |
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Provider Business Mailing Address
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Address Line | 5009 CLEAR SPRING RD
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City | MINNETONKA
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State | MN
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Zip | 55345-3312
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Country | US
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Telephone | 612-518-1701
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA O VOGEL
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Credential | MA
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Telephone | 612-518-1701
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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 | 2159
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License Number State | MN
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