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General NPI Number Information
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NPI Number | 1790495794
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Entity Type | Individual
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Provider Name | LINDSAY HARMON
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Gender | Female
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 1560 LIVINGSTON AVE
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City | WEST ST PAUL
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State | MN
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Zip | 55118-3419
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Country | US
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Telephone | 651-455-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 10405 45TH AVE N APT 320
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City | PLYMOUTH
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State | MN
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Zip | 55442-3402
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Country | US
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Telephone | 920-246-2518
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | MN
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