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General NPI Number Information
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NPI Number | 1366715187
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Entity Type | Individual
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Provider Name | LINDSAY R SHIPPEE LPN
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Gender | Female
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 72 LITTLE BOW RD
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City | GOUVERNEUR
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State | NY
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Zip | 13642-3156
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Country | US
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Telephone | 315-771-9908
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Fax |
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Provider Business Mailing Address
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Address Line | 72 LITTLE BOW RD
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City | GOUVERNEUR
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State | NY
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Zip | 13642-3156
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Country | US
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Telephone | 315-771-9908
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 267409-1
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License Number State | NY
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