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General NPI Number Information
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NPI Number | 1275061632
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Entity Type | Individual
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Provider Name | WILLIAM EDWARD LINDLEY JR. CRNP FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 05/30/2017
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Provider Practice Location Address
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Address Line | 3700 S RAILROAD ST STE A
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City | PHENIX CITY
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State | AL
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Zip | 36867-2994
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Country | US
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Telephone | 334-664-0463
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Fax |
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Provider Business Mailing Address
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Address Line | 1927 KERI HILL CIR
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City | AUBURN
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State | AL
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Zip | 36830-0602
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Country | US
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Telephone | 706-405-5881
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-148966
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License Number State | AL
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