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General NPI Number Information
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NPI Number | 1518213636
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Entity Type | Individual
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Provider Name | MICHAEL DEAN LINDEMANN MA., LPC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 3824 7TH AVE LOWR LEVEL
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City | ANOKA
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State | MN
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Zip | 55303-4843
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Country | US
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Telephone | 763-248-0994
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Fax | 763-270-8530
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Provider Business Mailing Address
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Address Line | 3824 7TH AVE LOWR LEVEL
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City | ANOKA
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State | MN
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Zip | 55303-4843
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Country | US
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Telephone | 763-248-0994
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Fax | 763-270-8530
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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 | 01142
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License Number State | MN
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