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General NPI Number Information
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NPI Number | 1285238154
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Entity Type | Organization
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Legal Business Name | LINDSEY BUFFORD, LLC
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 111 WILLIAMSBURG ST
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5719
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Country | US
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Telephone | 337-429-5800
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Fax | 833-341-1132
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Provider Business Mailing Address
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Address Line | PO BOX 6932
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City | LAKE CHARLES
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State | LA
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Zip | 70606-6932
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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 | OFFICE MANAGER
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Name | AMANDA BUFFORD
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Credential |
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Telephone | 337-965-9560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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