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General NPI Number Information
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NPI Number | 1245143353
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Entity Type | Individual
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Provider Name | LINDSEY MARIE ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 862 CRAHEN AVE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-3477
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Country | US
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Telephone | 616-410-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 9710 11 MILE RD NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9366
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Country | US
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Telephone | 616-901-3150
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7101003396
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License Number State | MI
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