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General NPI Number Information
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NPI Number | 1972670909
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Entity Type | Organization
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Legal Business Name | BUTTS, LINDGREN & ASSOCIATES INC.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1884 BERKSHIRE LN N
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City | PLYMOUTH
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State | MN
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Zip | 55441-3723
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Country | US
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Telephone | 763-559-5677
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Fax | 763-559-2116
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Provider Business Mailing Address
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Address Line | PO BOX 20667
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City | BLOOMINGTON
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State | MN
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Zip | 55420-0667
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Country | US
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Telephone | 952-888-3511
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Fax | 952-888-3088
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Authorized Official
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Title or Position | OWNER
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Name | MS. SUSAN J TOSTEVIN
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Credential | L.A.D.C.
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Telephone | 952-888-3511
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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 | 1015728-1-CDT
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License Number State | MN
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