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General NPI Number Information
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NPI Number | 1285162586
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Entity Type | Individual
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Provider Name | ASHLEE LINDGREN
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Gender | Female
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 2046 QUEENSBROOKE BLVD STE 100
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City | SAINT PETERS
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State | MO
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Zip | 63376-7881
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Country | US
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Telephone | 364-777-3006
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Fax | 636-922-0884
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Provider Business Mailing Address
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Address Line | 155 N 9TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2410
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Country | US
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Telephone |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016.005953
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2021018717
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License Number State | MO
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