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General NPI Number Information
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NPI Number | 1427685320
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Entity Type | Individual
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Provider Name | LYNN MARIE STEIDLER-THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 24090 SMILEY RD STE 200
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City | NISSWA
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State | MN
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Zip | 56468-2946
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Country | US
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Telephone | 218-963-9452
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Fax |
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Provider Business Mailing Address
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Address Line | 37051 159TH AVE
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City | MENAHGA
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State | MN
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Zip | 56464-6590
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Country | US
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Telephone | 320-334-4058
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 102991
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License Number State | MN
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