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General NPI Number Information
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NPI Number | 1366749012
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Entity Type | Individual
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Provider Name | LINDSEY MARIE SPRINKLE PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 5901 N CICERO AVE
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City | CHICAGO
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State | IL
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Zip | 60646-5717
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Country | US
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Telephone | 773-777-7790
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Fax |
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Provider Business Mailing Address
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Address Line | 7518 CONNIE LN
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-4670
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Country | US
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Telephone | 708-288-8711
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA10334
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License Number State | TX
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