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General NPI Number Information
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NPI Number | 1053871798
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Entity Type | Individual
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Provider Name | JANE E LINDSAY MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 1900 ELECTRIC RD
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City | SALEM
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State | VA
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Zip | 24153-7474
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Country | US
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Telephone | 540-728-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 12849 ISLAND SPIRIT DR
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City | PENSACOLA
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State | FL
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Zip | 32506-9482
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Country | US
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Telephone | 850-723-3723
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101276036
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License Number State | VA
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