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General NPI Number Information
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NPI Number | 1154124931
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Entity Type | Individual
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Provider Name | LAURIE LYNN DINGMANN CPT, CNC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 2395 TROOP DR UNIT 102
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City | SARTELL
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State | MN
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Zip | 56377-4695
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Country | US
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Telephone | 320-282-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 37721 SUNNYFIELD CIR
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City | AVON
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State | MN
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Zip | 56310-8714
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Country | US
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Telephone |
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 1241342226
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 1231009464
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License Number State | MN
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