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General NPI Number Information
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NPI Number | 1003185232
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Entity Type | Individual
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Provider Name | LINDSAY ELIZABETH OLSON
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Gender | Female
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 5279 KYLER AVE NE SUITE 110
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City | ALBERTVILLE
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State | MN
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Zip | 55301-4634
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Country | US
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Telephone | 763-951-3091
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Fax | 763-951-3097
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Provider Business Mailing Address
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Address Line | 5279 KYLER AVE NE SUITE 110
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City | ALBERTVILLE
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State | MN
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Zip | 55301-4634
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Country | US
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Telephone | 763-951-3091
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Fax | 763-951-3097
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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 |
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License Number State |
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