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General NPI Number Information
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NPI Number | 1285074898
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Entity Type | Individual
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Provider Name | LINDSEY DAUBY
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Gender | Female
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 1501 HARTFORD ST
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City | LAFAYETTE
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State | IN
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Zip | 47904-2134
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Country | US
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Telephone | 765-423-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 3652 ROME DR STE A
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City | LAFAYETTE
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State | IN
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Zip | 47905-4465
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Country | US
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Telephone | 765-446-0170
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10001539A
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License Number State | IN
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