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General NPI Number Information
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NPI Number | 1831323864
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Entity Type | Individual
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Provider Name | TIFFANI LINDSAY MA, MFT, LADC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 1650 US HIGHWAY 395 N STE 101A
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City | MINDEN
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State | NV
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Zip | 89423-4331
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Country | US
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Telephone | 866-331-4206
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Fax | 775-783-4200
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Provider Business Mailing Address
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Address Line | 1650 US HIGHWAY 395 N STE 101A
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City | MINDEN
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State | NV
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Zip | 89423-4331
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Country | US
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Telephone | 866-331-4206
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Fax | 775-783-4200
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LADC# 01123-L
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License Number State | NV
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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 | MFT# 01040
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License Number State | NV
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