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General NPI Number Information
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NPI Number | 1326631698
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Entity Type | Organization
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Legal Business Name | LINDSEY RODRIGUEZ DMD, LLC
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 22051 US HIGHWAY 72 STE F
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City | ATHENS
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State | AL
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Zip | 35613-2665
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Country | US
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Telephone | 256-434-5667
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Fax | 256-434-5668
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Provider Business Mailing Address
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Address Line | 22051 US HIGHWAY 72 STE F
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City | ATHENS
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State | AL
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Zip | 35613-2665
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Country | US
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Telephone | 256-434-5667
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. LINDSEY RODRIGUEZ
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Credential | DMD
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Telephone | 256-434-5667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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