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General NPI Number Information
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NPI Number | 1326169921
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Entity Type | Individual
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Provider Name | LAURIE ANN BRUSTAD KENNEDY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 DEMERS AVE SUITE 404
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City | GRAND FORKS
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State | ND
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Zip | 58201-4599
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Country | US
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Telephone | 701-746-4400
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Fax | 701-746-6034
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Provider Business Mailing Address
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Address Line | 600 DEMERS AVE SUITE 404
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City | GRAND FORKS
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State | ND
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Zip | 58201-4599
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Country | US
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Telephone | 701-746-4400
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Fax | 701-746-6034
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 222
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License Number State | ND
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