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NPI 1639395874

NPI 1639395874 : DIANE LYNN STRIKE PHD : ARDEN HILLS, MN

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General NPI Number Information
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    NPI Number           |    1639395874
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    Entity Type          |    Individual 
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    Provider Name        |    DIANE LYNN STRIKE PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/17/2007
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    Last Update Date     |    11/01/2023
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Provider Practice Location Address
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    Address Line         |    3820 CLEVELAND AVE N STE 400 
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    City                 |    ARDEN HILLS
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    State                |    MN
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    Zip                  |    55112-3297
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    Country              |    US
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    Telephone            |    651-785-4514
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9 IRONWOOD LN 
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    City                 |    NORTH OAKS
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    State                |    MN
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    Zip                  |    55127-2606
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    Country              |    US
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    Telephone            |    651-785-4514
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    LP4887
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    License Number State |    MN
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