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General NPI Number Information
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NPI Number | 1497604854
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Entity Type | Individual
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Provider Name | LINDSAY J PROCHNOW RPHTECH, CHW
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 4025 9TH AVE S STE D
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City | FARGO
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State | ND
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Zip | 58103-2101
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Country | US
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Telephone | 701-551-2446
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Fax | 701-364-9938
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Provider Business Mailing Address
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Address Line | 202 6TH AVE W
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City | WEST FARGO
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State | ND
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Zip | 58078-1723
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Country | US
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Telephone |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 48050
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License Number State | ND
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