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General NPI Number Information
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NPI Number | 1326048422
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Entity Type | Individual
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Provider Name | LINDA S. RAASCH ED.D., L.P.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4555 ERIN DR SUITE 260
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City | EAGAN
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State | MN
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Zip | 55122-3398
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Country | US
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Telephone | 651-686-8818
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Fax | 651-686-5560
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Provider Business Mailing Address
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Address Line | 15534 OMEGA TRL SE
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City | PRIOR LAKE
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State | MN
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Zip | 55372-2033
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Country | US
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Telephone | 952-440-9825
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP4148
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License Number State | MN
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