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General NPI Number Information
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NPI Number | 1952757288
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Entity Type | Individual
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Provider Name | BRIAN LINDNER LCPC
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Gender | Male
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 1865 N LAKES PL
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City | MERIDIAN
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State | ID
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Zip | 83646-1921
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Country | US
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Telephone | 208-996-3433
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Fax |
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Provider Business Mailing Address
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Address Line | 769 W HEATHER WOODS DR
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City | NAMPA
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State | ID
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Zip | 83686-2685
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Country | US
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Telephone | 208-800-1545
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-4803
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License Number State | ID
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