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General NPI Number Information
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NPI Number | 1932468816
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Entity Type | Individual
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Provider Name | MELISSA LYNN GETZKIN M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 17113 MINNETONKA BLVD WEST ENTERENCE
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City | MINNETONKA
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State | MN
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Zip | 55345-1100
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Country | US
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Telephone | 855-456-8567
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Fax |
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Provider Business Mailing Address
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Address Line | 4105 LAKE DRIVE AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422-1584
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Country | US
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Telephone | 612-518-0935
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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 | 01162
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License Number State | MN
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