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General NPI Number Information
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NPI Number | 1275691164
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Entity Type | Individual
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Provider Name | LINDY SHIELDS M.A.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1307 WHITE HORSE RD BUILDING A, SUITE 100
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City | VOORHEES
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State | NJ
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Zip | 08043-2176
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Country | US
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Telephone | 856-343-6020
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Fax | 856-309-8192
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Provider Business Mailing Address
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Address Line | 1307 WHITE HORSE RD BUILDING A, SUITE 100
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City | VOORHEES
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State | NJ
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Zip | 08043-2176
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Country | US
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Telephone | 856-343-6020
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Fax | 856-309-8192
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00060900
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License Number State | NJ
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