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General NPI Number Information
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NPI Number | 1497184899
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Entity Type | Individual
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Provider Name | LINDSAY MINTZ
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Gender | Female
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 300 HARVEY WEST BLVD
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City | SANTA CRUZ
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State | CA
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Zip | 95060-2103
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Country | US
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Telephone | 831-425-8132
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Fax |
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Provider Business Mailing Address
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Address Line | 322 MAIN ST APT C
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City | SANTA CRUZ
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State | CA
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Zip | 95060-5179
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Country | US
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Telephone | 714-719-0607
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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