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General NPI Number Information
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NPI Number | 1710115860
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Entity Type | Individual
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Provider Name | HEATHER LYNN ANDERSON LMFT, LP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2009
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 20 RED RIVER AVE S STE 100
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City | COLD SPRING
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State | MN
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Zip | 56320-2594
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Country | US
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Telephone | 320-407-1100
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Fax | 320-407-1120
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Provider Business Mailing Address
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Address Line | 54064 CSAH 20
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City | PAYNESVILLE
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State | MN
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Zip | 56362-9533
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Country | US
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Telephone | 320-492-9668
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP6667
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1394
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License Number State | MN
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