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General NPI Number Information
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NPI Number | 1891233565
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Entity Type | Organization
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Legal Business Name | CP CONSULTING & RESEARCH, LLC
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 2395 UNIVERSITY AVE W STE 200
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City | SAINT PAUL
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State | MN
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Zip | 55114-1511
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Country | US
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Telephone | 715-475-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 2395 UNIVERSITY AVE W STE 200
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City | SAINT PAUL
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State | MN
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Zip | 55114-1511
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Country | US
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Telephone | 218-371-9438
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | DR. CASEY GREGORY LANKOW
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Credential | PSYD, LP
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Telephone | 218-371-9438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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