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General NPI Number Information
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NPI Number | 1285871277
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Entity Type | Individual
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Provider Name | SANDRA ROSWITHA LINDELL PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 700 SLEATER KINNEY RD SW CENTER OF MINDFUL HEALING STE B-169
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City | LACEY
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State | WA
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Zip | 98503
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Country | US
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Telephone | 360-972-7855
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Fax | 360-282-1095
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Provider Business Mailing Address
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Address Line | 8609 LYNDALE AVE S SUITE 201-C
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City | BLOOMINGTON
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State | MN
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Zip | 55420
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Country | US
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Telephone | 651-285-2144
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R1676611
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP1682
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61135817
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License Number State | WA
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