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General NPI Number Information
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NPI Number | 1225250848
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Entity Type | Organization
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Legal Business Name | DAVID L LINDOW DDS PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 606 N MAIN STREET
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City | BELLEVUE
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State | MI
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Zip | 49021
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Country | US
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Telephone | 269-763-9404
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Fax | 269-763-0156
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Provider Business Mailing Address
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Address Line | 606 N MAIN STREET
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City | BELLEVUE
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State | MI
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Zip | 49021
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Country | US
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Telephone | 269-763-9404
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Fax | 269-763-0156
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID LEE LINDOW
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Credential | DDS
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Telephone | 727-867-4061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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