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General NPI Number Information
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NPI Number | 1174294979
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Entity Type | Individual
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Provider Name | LINDSEY LEIGH CLARK FNP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 5969 TR 243
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City | FINDLAY
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State | OH
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Zip | 45840-8723
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Country | US
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Telephone | 419-673-6584
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Fax |
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Provider Business Mailing Address
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Address Line | 5969 TR 243
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City | FINDLAY
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State | OH
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Zip | 45840-8723
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Country | US
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Telephone | 419-673-6584
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0029597
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License Number State | OH
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