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General NPI Number Information
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NPI Number | 1306395488
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Entity Type | Individual
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Provider Name | LINDSAY KIRLIN D.P.T
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Gender | Female
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 1555 MESA VERDE DR E APT 34A
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City | COSTA MESA
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State | CA
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Zip | 92626-5202
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Country | US
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Telephone | 267-394-0592
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LIGHT ST
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City | BALTIMORE
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State | MD
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Zip | 21202-1435
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Country | US
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Telephone | 267-394-0592
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 292118
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License Number State | CA
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