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General NPI Number Information
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NPI Number | 1437649605
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Entity Type | Individual
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Provider Name | SAMARA NOVAK LINDGREN LPC
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Gender | Female
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 2600 N STEMMONS FWY # 141
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City | DALLAS
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State | TX
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Zip | 75207-2113
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Country | US
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Telephone | 888-411-9745
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Fax |
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Provider Business Mailing Address
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Address Line | 3824 CEDAR SPRINGS RD # 396
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City | DALLAS
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State | TX
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Zip | 75219-4136
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Country | US
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Telephone | 214-770-3990
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 72826
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License Number State | TX
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