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General NPI Number Information
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NPI Number | 1922499078
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Entity Type | Individual
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Provider Name | JEREMY ADLER LPCC
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Gender | Male
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 2500 MAPLE AVE
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City | SLAYTON
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State | MN
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Zip | 56172-1322
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Country | US
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Telephone | 507-316-4974
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | SLAYTON
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State | MN
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Zip | 56172-0281
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Country | US
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Telephone | 507-316-4974
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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 | 00937
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 937
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License Number State | MN
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