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General NPI Number Information
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NPI Number | 1629490941
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Entity Type | Individual
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Provider Name | LASHAWN GOSS-LOVE LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 345 E 38TH ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55409-1363
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Country | US
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Telephone | 612-243-1600
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Fax | 161-276-7462
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Provider Business Mailing Address
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Address Line | 17207 ENCINA PATH
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City | FARMINGTON
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State | MN
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Zip | 55024
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2604
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License Number State | MN
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