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General NPI Number Information
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NPI Number | 1134848591
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Entity Type | Individual
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Provider Name | LINDSEY WOLTER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 3101 OLD HIGHWAY 8
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City | ROSEVILLE
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State | MN
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Zip | 55113-1072
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Country | US
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Telephone | 612-256-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 S 2ND ST UNIT 615
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-2619
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Country | US
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Telephone | 651-245-5781
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 125345
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 125345
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License Number State | MN
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