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General NPI Number Information
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NPI Number | 1689917924
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Entity Type | Individual
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Provider Name | MRS. KARIN M LUNDQUIST
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Gender | Female
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 1132 28TH AVE S
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City | MOORHEAD
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State | MN
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Zip | 56560-4420
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Country | US
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Telephone | 218-331-0213
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Fax | 888-688-4095
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | PAYNESVILLE
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State | MN
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Zip | 56362-0040
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Country | US
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Telephone | 800-246-9036
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Fax | 888-688-4095
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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