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General NPI Number Information
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NPI Number | 1659296739
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Entity Type | Individual
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Provider Name | LISA LEE FOX LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 100 FREEMAN DR
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City | SAINT PETER
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State | MN
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Zip | 56082-3504
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Country | US
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Telephone | 507-985-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 618 JEFFERSON AVE
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City | SAINT PETER
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State | MN
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Zip | 56082-1695
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Country | US
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Telephone | 334-201-4834
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 26256
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 007001
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License Number State | IA
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