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General NPI Number Information
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NPI Number | 1154894574
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Entity Type | Organization
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Legal Business Name | LINDBERG MEDICAL CORP
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 119 E COURT ST
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City | CINCINNATI
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State | OH
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Zip | 45202-1203
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Country | US
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Telephone | 347-693-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 30 GARFIELD PL APT 2E
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City | BROOKLYN
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State | NY
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Zip | 11215-1963
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Country | US
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Telephone | 347-693-7770
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. FREDERIK LINDBERG
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Credential | MD
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Telephone | 347-693-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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