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General NPI Number Information
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NPI Number | 1982485090
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Entity Type | Individual
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Provider Name | NAOMI MARIE RATH-NESVACIL
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Gender | Female
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 1919 UNIVERSITY AVE W STE 6
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City | SAINT PAUL
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State | MN
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Zip | 55104-3435
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Country | US
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Telephone | 651-641-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 3702 E 34TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-2702
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Country | US
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Telephone | 651-303-6598
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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