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General NPI Number Information
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NPI Number | 1992463475
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Entity Type | Individual
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Provider Name | OLIVIA NESS
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Gender | Female
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 4100 BERKSHIRE LN N UNIT 250
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City | PLYMOUTH
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State | MN
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Zip | 55446-3813
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Country | US
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Telephone | 612-223-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 WAYZATA BLVD
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-1623
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Country | US
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Telephone | 612-473-0782
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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 | CC4225
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License Number State | MN
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Taxonomy #2
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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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