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General NPI Number Information
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NPI Number | 1144844820
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Entity Type | Individual
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Provider Name | LINDSY LEE MATTEONI-LOSIEWSKI LPC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1901 PARKVIEW AVE STE 1
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City | KALAMAZOO
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State | MI
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Zip | 49008-4806
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Country | US
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Telephone | 269-225-5148
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Fax |
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Provider Business Mailing Address
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Address Line | 5955 W MAIN ST STE 211
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City | KALAMAZOO
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State | MI
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Zip | 49009-9101
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Country | US
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Telephone | 269-528-4258
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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 | 6401018363
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License Number State | MI
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