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General NPI Number Information
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NPI Number | 1023318987
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Entity Type | Organization
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Legal Business Name | LANKFORD SURGICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 1919 STATE ST SUITE 464
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City | NEW ALBANY
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State | IN
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Zip | 47150-4929
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Country | US
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Telephone | 812-944-7530
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Fax | 812-944-7585
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Provider Business Mailing Address
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Address Line | 1919 STATE ST SUITE 464
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City | NEW ALBANY
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State | IN
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Zip | 47150-4929
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Country | US
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Telephone | 812-944-7530
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Fax | 812-944-7585
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Authorized Official
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Title or Position | M. D./OWNER
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Name | ASHLEY LANKFORD
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Credential | M. D.
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Telephone | 812-944-7530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01055865A
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License Number State | IN
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