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General NPI Number Information
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NPI Number | 1205360401
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Entity Type | Individual
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Provider Name | LINDSEY STALCUP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 1510 HEBRON STREET
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City | HENDERSONVILLE
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State | NC
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Zip | 28739
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Country | US
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Telephone | 828-694-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 6 WELLSTONE LANE APARTMENT 106
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City | ASHEVILLE
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State | NC
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Zip | 28803
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Country | US
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Telephone | 828-767-0985
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 10062
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License Number State | NC
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