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General NPI Number Information
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NPI Number | 1487351128
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Entity Type | Organization
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Legal Business Name | LOTUS MENTAL HEALTH AND RECOVERY, LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 780 18TH ST
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City | ZUMBROTA
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State | MN
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Zip | 55992-5193
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Country | US
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Telephone | 507-259-8673
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 BROADWAY AVE N STE 106
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City | ROCHESTER
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State | MN
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Zip | 55906-4144
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Country | US
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Telephone | 507-951-8517
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Fax | 507-824-4048
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Authorized Official
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Title or Position | OWNER
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Name | ROSEANN MARIE SCHULTZ
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Credential | LPCC
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Telephone | 507-951-8517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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