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General NPI Number Information
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NPI Number | 1184997900
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Entity Type | Organization
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Legal Business Name | ANNE LINDGREEN & ASSOCIATES, PC
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 9 N MAIN ST SUITE 3
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City | LOMBARD
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State | IL
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Zip | 60148-2300
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Country | US
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Telephone | 630-202-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 9 N MAIN ST SUITE 3
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City | LOMBARD
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State | IL
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Zip | 60148-2300
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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 | PRESIDENT
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Name | MRS. ANNE LINDGREN
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Credential | L.C.P.C.
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Telephone | 630-202-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180006999
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149012096
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180006999
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License Number State | IL
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