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General NPI Number Information
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NPI Number | 1366286643
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Entity Type | Individual
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Provider Name | LINDSEY MCGINNIS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 6700 N LINDER RD STE 132
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City | MERIDIAN
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State | ID
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Zip | 83646-6604
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Country | US
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Telephone | 208-895-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 13288 W SATINLEAF DR
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City | BOISE
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State | ID
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Zip | 83713-1992
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Country | US
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Telephone | 701-390-2022
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D-5635
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License Number State | ID
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