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General NPI Number Information
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NPI Number | 1033127618
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Entity Type | Individual
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Provider Name | PHILLIP R LINDSEY SR. DDS
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4601 50TH ST SUITE 201
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City | LUBBOCK
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State | TX
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Zip | 79414-3513
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Country | US
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Telephone | 806-793-3308
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Fax | 806-793-0585
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Provider Business Mailing Address
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Address Line | 4601 50TH ST SUITE 201
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City | LUBBOCK
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State | TX
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Zip | 79414-3513
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Country | US
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Telephone | 806-793-3308
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Fax | 806-793-0585
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11830
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License Number State | TX
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