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General NPI Number Information
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NPI Number | 1699592220
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Entity Type | Organization
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Legal Business Name | NATASHA L ISAMAN MSN, PMHNP-BC, APRN
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 15976 COUNTY HIGHWAY 6
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City | LAKE PARK
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State | MN
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Zip | 56554-9111
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Country | US
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Telephone | 218-420-0202
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Fax |
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Provider Business Mailing Address
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Address Line | 15976 COUNTY HIGHWAY 6
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City | LAKE PARK
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State | MN
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Zip | 56554-9111
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Country | US
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Telephone | 218-420-0202
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Fax | 218-270-5134
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | NATASHA LYNN ISAMAN
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Credential | PMHNP-BC
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Telephone | 218-420-0202
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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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