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NPI 1417803396

NPI 1417803396 : LINDSEY M HENKE PC : BLOOMINGTON, MN

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General NPI Number Information
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    NPI Number           |    1417803396
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    Entity Type          |    Organization 
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    Legal Business Name  |    LINDSEY M HENKE PC 
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Dates
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    Enumeration Date     |    03/04/2026
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    Last Update Date     |    03/04/2026
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Provider Practice Location Address
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    Address Line         |    2626 E 82ND ST STE 225B 
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    City                 |    BLOOMINGTON
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    State                |    MN
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    Zip                  |    55425-1301
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    Country              |    US
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    Telephone            |    612-237-6636
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5201 OVERLOOK DR 
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    City                 |    BLOOMINGTON
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    State                |    MN
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    Zip                  |    55437-3309
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    Country              |    US
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    Telephone            |    612-237-6636
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LINDSEY MARIE-FRITSCH HENKE 
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    Credential           |    MSW, LICSW
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    Telephone            |    612-237-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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