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General NPI Number Information
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NPI Number | 1770720542
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Entity Type | Organization
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Legal Business Name | DIANE STRIKE, LLC
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 3820 CLEVELAND AVE N SUITE 400
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City | ARDEN HILLS
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State | MN
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Zip | 55112-3285
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Country | US
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Telephone | 651-785-4514
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 CLEVELAND AVE N SUITE 400
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City | ARDEN HILLS
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State | MN
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Zip | 55112-3285
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Country | US
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Telephone | 651-785-4514
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIANE STRIKE
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Credential | PHD
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Telephone | 651-785-4514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LP 4887
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License Number State | MN
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