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General NPI Number Information
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NPI Number | 1629614110
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Entity Type | Organization
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Legal Business Name | LINDSAY ALLARD LPC LLC
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 2717 N GRANDVIEW BLVD STE 204
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City | WAUKESHA
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State | WI
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Zip | 53188-1660
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Country | US
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Telephone | 262-210-4929
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 SCENIC RD
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City | HUBERTUS
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State | WI
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Zip | 53033-9604
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Country | US
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Telephone | 262-210-4929
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY ALLARD
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Credential | LPC
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Telephone | 262-210-4929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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