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General NPI Number Information
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NPI Number | 1124391016
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Entity Type | Individual
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Provider Name | LINDSAY ANN HALLETT ZIMMERMAN PSY.D., HSPP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 11350 N MERIDIAN ST STE 300
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-660-1221
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Fax | 317-660-6223
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Provider Business Mailing Address
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Address Line | 11350 N MERIDIAN ST STE 300
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City | CARMEL
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State | IN
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Zip | 46032-3531
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Country | US
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Telephone | 317-660-1221
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Fax | 317-660-6223
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.009334
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20043135A
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License Number State | IN
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