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General NPI Number Information
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NPI Number | 1225703507
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Entity Type | Individual
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Provider Name | LINDSAY ELIZABETH ENGELKE DACM, MSTOM, BS, LMT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 8202 EXCELSIOR DR
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City | MADISON
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State | WI
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Zip | 53717-1906
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Country | US
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Telephone | 608-662-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 VILAS AVE
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City | MADISON
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State | WI
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Zip | 53715-1550
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Country | US
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Telephone | 608-347-7087
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 10402-146
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 687-055
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License Number State | WI
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