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General NPI Number Information
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NPI Number | 1619208329
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Entity Type | Individual
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Provider Name | INA LASMANE LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 5100 THIMSEN AVE SUITE 120
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City | MINNETONKA
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State | MN
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Zip | 55345-4108
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Country | US
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Telephone | 612-559-8704
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Fax | 612-279-8205
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Provider Business Mailing Address
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Address Line | 5100 THIMSEN AVE SUITE 120
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City | MINNETONKA
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State | MN
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Zip | 55345-4108
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Country | US
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Telephone | 612-559-8704
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Fax | 612-279-8205
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1970
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License Number State | MN
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