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General NPI Number Information
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NPI Number | 1073021036
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Entity Type | Organization
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Legal Business Name | WEBMED MENTAL HEALTH
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1102 E 4TH ST
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City | DULUTH
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State | MN
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Zip | 55805-2219
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Country | US
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Telephone | 218-310-8896
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Fax | 218-206-2654
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Provider Business Mailing Address
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Address Line | 1102 E 4TH ST
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City | DULUTH
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State | MN
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Zip | 55805-2219
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Country | US
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Telephone | 218-310-8896
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Fax | 218-206-6545
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Authorized Official
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Title or Position | CREDENTIALING
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Name | LINDSAY MERRITT
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Credential |
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Telephone | 218-310-8896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CNP4335
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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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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