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NPI 1003205659

NPI 1003205659 : LINDSAY J ESCOBEDO DO, ND, MBA : KINGMAN, AZ

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General NPI Number Information
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    NPI Number           |    1003205659
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY J ESCOBEDO DO, ND, MBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/20/2015
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    Last Update Date     |    05/22/2025
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Provider Practice Location Address
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    Address Line         |    3269 N STOCKTON HILL RD 
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    City                 |    KINGMAN
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    State                |    AZ
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    Zip                  |    86409-3619
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    Country              |    US
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    Telephone            |    928-263-4466
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3269 N STOCKTON HILL RD 
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    City                 |    KINGMAN
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    State                |    AZ
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    Zip                  |    86409-3619
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    Country              |    US
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    Telephone            |    928-263-4466
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    14-1459
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    R4521
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    License Number State |    AZ
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