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General NPI Number Information
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NPI Number | 1245862820
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Entity Type | Organization
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Legal Business Name | IMPRINTED COUNSELING, PLLC
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 1107 HAZELTINE BLVD STE 471
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City | CHASKA
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State | MN
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Zip | 55318-1067
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Country | US
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Telephone | 612-712-3891
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 MILLPOND CT
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City | CHASKA
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State | MN
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Zip | 55318-1316
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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 | OWNER/ THERAPIST
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Name | KATEY MARIE LINDELL
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Credential | LMFT
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Telephone | 612-712-3891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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