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General NPI Number Information
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NPI Number | 1972801090
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Entity Type | Individual
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Provider Name | CINDY MEYER MA, LMFT, LADC
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Gender | Female
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 10/29/2018
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Provider Practice Location Address
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Address Line | 311 BRIGHTON AVE S SUITE B
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City | BUFFALO
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State | MN
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Zip | 55313-2312
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Country | US
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Telephone | 651-331-9953
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Fax | 763-657-0819
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Provider Business Mailing Address
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Address Line | 16330 ROYAL RD
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City | RAMSEY
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State | MN
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Zip | 55303-8027
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Country | US
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Telephone | 651-331-9953
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 302970
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2198
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2198
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License Number State | MN
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