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General NPI Number Information
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NPI Number | 1184454043
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Entity Type | Individual
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Provider Name | BROOKE RENEE LINDSAY PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1705 TARBORO ST SW
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City | WILSON
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State | NC
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Zip | 27893-3437
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Country | US
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Telephone | 252-399-8040
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 TARBORO ST W STE 200
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City | WILSON
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State | NC
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Zip | 27893-3481
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Country | US
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Telephone | 252-399-5310
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Fax | 252-399-5311
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1228187
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License Number State | NC
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