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General NPI Number Information
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NPI Number | 1831328723
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Entity Type | Individual
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Provider Name | DEANNA LEA AUSTIN MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 201 MAIN STREET
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City | ISANTI
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State | MN
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Zip | 55040-5504
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Country | US
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Telephone | 763-600-2911
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Fax | 763-244-1243
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Provider Business Mailing Address
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Address Line | PO BOX 23
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City | ISANTI
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State | MN
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Zip | 55040-0023
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Country | US
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Telephone | 763-600-2911
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Fax | 763-244-1243
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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 | 1893
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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 |
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License Number State |
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