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NPI 1083790331

NPI 1083790331 : BILLIE DENISE LINDSEY M.S. : TUCUMCARI, NM

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General NPI Number Information
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    NPI Number           |    1083790331
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    Entity Type          |    Individual 
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    Provider Name        |    BILLIE DENISE LINDSEY M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/30/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1107 SOUTH ELEVENTH STREET 
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    City                 |    TUCUMCARI
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    State                |    NM
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    Zip                  |    88401
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    Country              |    US
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    Telephone            |    505-461-4344
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    Fax                  |    505-461-8033
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Provider Business Mailing Address
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    Address Line         |    1517 S JACKSON ST 
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    City                 |    TUCUMCARI
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    State                |    NM
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    Zip                  |    88401-3520
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    Country              |    US
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    Telephone            |    505-461-0798
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    887
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    License Number State |    NM
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