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General NPI Number Information
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NPI Number | 1144772781
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Entity Type | Individual
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Provider Name | LISA SCOTT-SPOERKE LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 240 CHAPEL PLACE UNIT 208
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City | AVON
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State | CO
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Zip | 81620
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Country | US
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Telephone | 231-622-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1321
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Country | US
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Telephone | 866-603-0016
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPCC.0015016
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3848
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License Number State | MN
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