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General NPI Number Information
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NPI Number | 1174569289
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Entity Type | Individual
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Provider Name | JANICE C TINDALL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 101 ABBEYVILLE RD
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City | LANCASTER
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State | PA
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Zip | 17603-4603
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Country | US
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Telephone | 717-291-5991
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Fax | 717-291-5806
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Provider Business Mailing Address
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Address Line | 101 ABBEYVILLE RD
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City | LANCASTER
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State | PA
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Zip | 17603-4603
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Country | US
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Telephone | 717-291-5991
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Fax | 717-291-5806
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD025187E
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License Number State | PA
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