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General NPI Number Information
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NPI Number | 1497308639
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Entity Type | Organization
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Legal Business Name | LOVESTRONG INTEGRATIVE SERVICES, LLC
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 1560 DEER TRAIL LN NE
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City | OWATONNA
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State | MN
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Zip | 55060-2096
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Country | US
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Telephone | 317-743-5539
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Fax | 972-323-8640
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Provider Business Mailing Address
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Address Line | 1560 DEER TRAIL LN NE
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City | OWATONNA
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State | MN
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Zip | 55060-2096
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Country | US
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Telephone | 507-475-4353
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHELLEY A. L. LEUTSCHAFT
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Credential | PHD, LP
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Telephone | 507-475-4353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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