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NPI 1053423483

NPI 1053423483 : MARGARET JOSEPHINE ZANDER LMHC LMFT : DENVER, IA

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General NPI Number Information
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    NPI Number           |    1053423483
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET JOSEPHINE ZANDER LMHC LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    07/07/2008
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Provider Practice Location Address
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    Address Line         |    2266 250TH ST 
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    City                 |    DENVER
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    State                |    IA
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    Zip                  |    50622
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    Country              |    US
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    Telephone            |    319-984-6211
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    Fax                  |    319-984-6211
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Provider Business Mailing Address
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    Address Line         |    2266 250TH STREET 
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    City                 |    DENVER
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    State                |    IA
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    Zip                  |    50622
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    Country              |    US
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    Telephone            |    319-984-6211
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    Fax                  |    319-984-6211
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    00192
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    License Number State |    IA
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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       |    00171
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    License Number State |    IA
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Taxonomy #3
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    LMHC00192
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    License Number State |    IA
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Taxonomy #4
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    LMFT00171
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    License Number State |    IA
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