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General NPI Number Information
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NPI Number | 1144671157
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Entity Type | Individual
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Provider Name | LINDSEY BORDERS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 07/31/2016
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Provider Practice Location Address
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Address Line | 505 ELM ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2500
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Country | US
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Telephone | 505-823-9166
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 KRISS PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4733
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Country | US
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Telephone | 505-710-0463
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1610
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License Number State | NM
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