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General NPI Number Information
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NPI Number | 1083390264
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Entity Type | Individual
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Provider Name | LINDSAY CLARK O'TOOLE
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Gender | Female
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 403 SILVER CREEK RD
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City | GREER
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State | SC
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Zip | 29650-3419
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Country | US
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Telephone | 864-404-8637
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Fax |
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Provider Business Mailing Address
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Address Line | 403 SILVER CREEK RD
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City | GREER
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State | SC
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Zip | 29650-3419
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Country | US
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Telephone | 864-404-8637
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 250003
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 32197
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License Number State | SC
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