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General NPI Number Information
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NPI Number | 1972396851
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Entity Type | Organization
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Legal Business Name | NESTING SPACE THERAPY PLLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 38868 12TH AVE # 1094
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City | NORTH BRANCH
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State | MN
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Zip | 55056-6658
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Country | US
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Telephone | 952-239-7834
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Fax |
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Provider Business Mailing Address
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Address Line | 12755 EAGLE RIDGE DR
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City | BURNSVILLE
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State | MN
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Zip | 55337-3583
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Country | US
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Telephone | 952-239-7834
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | KAMBER PEERBOOM
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Credential |
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Telephone | 952-239-7834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 |
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License Number State |
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