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General NPI Number Information
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NPI Number | 1669555371
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Entity Type | Individual
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Provider Name | JOHN R LINDT MA, MDIV, LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 2012 10TH ST
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City | MENOMINEE
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State | MI
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Zip | 49858-2194
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Country | US
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Telephone | 906-863-5646
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Fax | 906-863-1078
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Provider Business Mailing Address
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Address Line | 2012 10TH ST
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City | MENOMINEE
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State | MI
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Zip | 49858-2194
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Country | US
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Telephone | 906-863-5646
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Fax | 906-863-1078
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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 | 4101006223
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License Number State | MI
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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 | 628 124
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License Number State | WI
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