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General NPI Number Information
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NPI Number | 1912142712
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Entity Type | Individual
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Provider Name | NAOMI JOY SCHWENKE M.A., PHD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 7777 WASHINGTON AVE S STE 101
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City | EDINA
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State | MN
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Zip | 55439-2469
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Country | US
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Telephone | 612-464-1400
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Fax | 612-315-6001
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Provider Business Mailing Address
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Address Line | 7777 WASHINGTON AVE S STE 101
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City | EDINA
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State | MN
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Zip | 55439-2469
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Country | US
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Telephone | 612-464-1400
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Fax | 612-315-6001
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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 | MFT10000007
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License Number State | MA
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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 | MFT00221
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 002263
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2773
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License Number State | MN
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