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General NPI Number Information
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NPI Number | 1952579385
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Entity Type | Organization
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Legal Business Name | SHEILA THOMAS, M.A.L.P., PLLC
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 821 RAYMOND AVE SUITE 270
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City | SAINT PAUL
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State | MN
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Zip | 55114-1503
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Country | US
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Telephone | 612-710-5180
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Fax | 651-379-0993
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Provider Business Mailing Address
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Address Line | 821 RAYMOND AVE SUITE 270
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City | SAINT PAUL
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State | MN
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Zip | 55114-1503
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Country | US
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Telephone | 612-710-5180
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Fax | 651-379-0993
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHEILA L THOMAS
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Credential | M.A., L.P.
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Telephone | 612-710-5180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 3025
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3025
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License Number State | MN
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