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General NPI Number Information
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NPI Number | 1184932303
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Entity Type | Individual
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Provider Name | LINDSEY NICOLE ONG NURSE ANESTHETIST
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Gender | Female
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 5665 NEW NORTHSIDE DR NW STE 320
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City | ATLANTA
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State | GA
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Zip | 30328-5831
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Country | US
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Telephone | 770-874-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 BRICK LN
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City | DECATUR
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State | GA
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Zip | 30033-3952
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Country | US
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Telephone | 678-549-4410
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 2108
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License Number State | GA
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