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General NPI Number Information
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NPI Number | 1043023963
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Entity Type | Individual
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Provider Name | LINDSEY WEBER
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 600 W 78TH ST UNIT 10
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City | CHANHASSEN
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State | MN
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Zip | 55317-2601
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Country | US
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Telephone | 952-373-1434
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Fax |
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Provider Business Mailing Address
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Address Line | 944 ASPEN CIR
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City | WATERTOWN
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State | MN
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Zip | 55388-4522
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Country | US
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Telephone | 612-986-0494
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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 | CC04782
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License Number State | MN
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