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General NPI Number Information
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NPI Number | 1306931647
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Entity Type | Individual
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Provider Name | CARLEEN LINDSEY PT MS GCS
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 1001 FARMINGTON AVE SUITE 101
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City | BRISTOL
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State | CT
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Zip | 06010-3990
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Country | US
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Telephone | 860-582-8024
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Fax | 860-585-0609
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Provider Business Mailing Address
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Address Line | 220 MAIN ST APT 3J
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City | NEW HARTFORD
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State | CT
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Zip | 06057-2714
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Country | US
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Telephone | 860-738-0272
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Fax | 860-738-0272
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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 | 002219
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License Number State | CT
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