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General NPI Number Information
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NPI Number | 1538465539
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Entity Type | Organization
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Legal Business Name | LINDA L. LUNSTED, LMSW
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 516 S CREYTS RD STE F
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City | LANSING
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State | MI
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Zip | 48917-8268
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Country | US
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Telephone | 517-819-8519
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Fax |
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Provider Business Mailing Address
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Address Line | 516 S CREYTS RD STE F
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City | LANSING
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State | MI
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Zip | 48917-8268
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Country | US
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Telephone | 517-819-8519
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MRS. LINDA L. LUNSTED
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Credential | LMSW
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Telephone | 517-819-8519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6801086231
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License Number State | MI
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