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General NPI Number Information
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NPI Number | 1154869303
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Entity Type | Individual
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Provider Name | LINDSAY NEMANICH
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Gender | Female
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 3716 MS-39
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City | MERIDIAN
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State | MS
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Zip | 39301
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Country | US
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Telephone | 601-482-7164
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Fax |
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Provider Business Mailing Address
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Address Line | 3677 MARINA CIR
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City | LAUDERDALE
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State | MS
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Zip | 39335-9434
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Country | US
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Telephone |
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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 | 6075
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License Number State | MS
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