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General NPI Number Information
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NPI Number | 1154364966
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Entity Type | Organization
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Legal Business Name | ROBERT N. LINDHOLM, MD, PC
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1098 W. BALTIMORE PIKE SUITE 3307
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City | MEDIA
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State | PA
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Zip | 19063
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Country | US
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Telephone | 610-892-0801
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Fax | 610-892-9552
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Provider Business Mailing Address
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Address Line | 1098 W BALTIMORE PIKE SUITE 3307
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City | MEDIA
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State | PA
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Zip | 19063-5139
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Country | US
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Telephone | 610-892-0801
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Fax | 610-892-9552
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT N. LINDHOLM
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Credential | MD
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Telephone | 610-892-0801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD035817E
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License Number State | PA
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