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General NPI Number Information
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NPI Number | 1184248452
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Entity Type | Individual
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Provider Name | LINDSAY EZIASHI
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Gender | Female
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 1014 N FIELDER RD STE 110
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City | ARLINGTON
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State | TX
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Zip | 76012-3149
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Country | US
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Telephone | 469-226-4819
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 MARKET CENTER BLVD APT 1114
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City | DALLAS
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State | TX
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Zip | 75207-3324
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 65423
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License Number State | TX
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