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General NPI Number Information
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NPI Number | 1114051927
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Entity Type | Individual
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Provider Name | ANN LINDSEY MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 2073 OLYMPIC ST.
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1022
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Country | US
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Telephone | 307-321-6345
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Fax |
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Provider Business Mailing Address
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Address Line | 2073 OLYMPIC ST.
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1022
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Country | US
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Telephone | 307-321-6345
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW-468
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License Number State | WY
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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 | L5519
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License Number State | OR
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