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General NPI Number Information
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NPI Number | 1205483641
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Entity Type | Organization
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Legal Business Name | RESTORING LIFE LLC
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 671 3RD AVE STE E
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City | JASPER
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State | IN
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Zip | 47546-3653
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Country | US
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Telephone | 812-631-8653
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Fax |
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Provider Business Mailing Address
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Address Line | 671 3RD AVE STE E
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City | JASPER
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State | IN
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Zip | 47546-3653
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Country | US
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Telephone | 812-631-8653
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LINDSEY MARIE LINNE
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Credential |
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Telephone | 812-727-4757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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