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General NPI Number Information
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NPI Number | 1063034924
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Entity Type | Individual
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Provider Name | LINDSEY NELSON OD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 116 N TUSCOLA RD
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City | BAY CITY
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State | MI
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Zip | 48708-6961
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Country | US
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Telephone | 989-892-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 580 LAKES EDGE DR
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City | OXFORD
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State | MI
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Zip | 48371-5227
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Country | US
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Telephone | 248-891-1349
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901005445
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License Number State | MI
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