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General NPI Number Information
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NPI Number | 1588905111
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Entity Type | Individual
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Provider Name | MICHELLE LINDQUIST MSW
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Gender | Female
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 754 VORTEX AVE
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City | HENDERSON
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State | NV
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Zip | 89002-6514
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Country | US
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Telephone | 435-773-3343
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Fax |
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Provider Business Mailing Address
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Address Line | 754 VORTEX AVE
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City | HENDERSON
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State | NV
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Zip | 89002-6514
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Country | US
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Telephone | 435-773-3343
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 5371-S
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6710856-3502
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License Number State | UT
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