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General NPI Number Information
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NPI Number | 1942375464
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Entity Type | Individual
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Provider Name | MICHELLE SCHUBERT HUNT-GRAHAM L.A.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 7525 MITCHELL RD SUITE 100
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-1959
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Country | US
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Telephone | 952-224-2282
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Fax | 952-224-2284
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Provider Business Mailing Address
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Address Line | 2115 COUNTY ROAD D E SUITE B
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City | MAPLEWOOD
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State | MN
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Zip | 55109-5353
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Country | US
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Telephone | 651-748-5019
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Fax | 651-773-7591
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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 | 1614
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License Number State | MN
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