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General NPI Number Information
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NPI Number | 1174515092
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Entity Type | Individual
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Provider Name | CHERYL LINDGREN DDS
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Gender | Female
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 6936 PINE ARBOR DR S SUITE 210
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-4645
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Country | US
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Telephone | 651-769-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6936 PINE ARBOR DR S SUITE 210
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-4645
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Country | US
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Telephone | 651-769-1000
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Fax | 651-203-5098
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10787
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License Number State | MN
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