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General NPI Number Information
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NPI Number | 1043272834
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Entity Type | Individual
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Provider Name | CHERRYLENE A LINDGREN D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 4105 I-27
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City | LUBBOCK
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State | TX
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Zip | 79404
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Country | US
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Telephone | 806-762-2633
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Fax | 806-761-0431
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Provider Business Mailing Address
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Address Line | 5219 CITY BANK PKWY STE 35
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City | LUBBOCK
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State | TX
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Zip | 79407
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Country | US
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Telephone | 806-761-0333
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Fax | 806-782-0097
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K9108
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MB070589
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License Number State | NJ
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