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General NPI Number Information
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NPI Number | 1215611041
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Entity Type | Individual
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Provider Name | LYNDSIE KATHLEEN STANLEY CMA
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 319 7TH AVE SE STE 201
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City | OLYMPIA
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State | WA
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Zip | 98501-1325
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Country | US
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Telephone | 253-281-7564
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Fax |
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Provider Business Mailing Address
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Address Line | 4838 RURAL RD SW APT 207
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City | TUMWATER
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State | WA
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Zip | 98512-6717
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Country | US
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Telephone | 501-487-8999
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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 | 246QM0706X
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Taxonomy Name | Medical Technologist
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License Number | CM60902780
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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