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General NPI Number Information
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NPI Number | 1316270713
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Entity Type | Individual
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Provider Name | WENDY LOU LINDSAY CMT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 105 N 5TH AVE
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City | VIRGINIA
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State | MN
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Zip | 55792-2521
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Country | US
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Telephone | 218-741-5610
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Fax |
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Provider Business Mailing Address
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Address Line | 527 E JAMES ST
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City | ELY
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State | MN
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Zip | 55731-1531
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Country | US
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Telephone | 218-365-0809
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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