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General NPI Number Information
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NPI Number | 1831226596
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Entity Type | Individual
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Provider Name | DIANNA LYNN DIERS MA LAMFT
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1133 GRAND AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-2629
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Country | US
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Telephone | 651-641-0177
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Fax |
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Provider Business Mailing Address
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Address Line | 995 GOODRICH AVE
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City | SAINT PAUL
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State | MN
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Zip | 55105-3133
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Country | US
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Telephone | 651-224-8905
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1625
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License Number State | MN
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