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General NPI Number Information
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NPI Number | 1437015864
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Entity Type | Individual
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Provider Name | CODI LYN TAHRAN LAPC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 804 13TH ST NE
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City | JAMESTOWN
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State | ND
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Zip | 58401-3586
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Country | US
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Telephone | 701-952-5566
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Fax | 701-952-5567
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Provider Business Mailing Address
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Address Line | 804 13TH ST NE
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City | JAMESTOWN
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State | ND
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Zip | 58401-3586
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Country | US
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Telephone | 701-952-5566
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Fax | 701-952-5567
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1515-12-15-25A
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License Number State | ND
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