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General NPI Number Information
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NPI Number | 1417375304
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Entity Type | Individual
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Provider Name | MARK LINDSAY N.P.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 12801 E 17TH AVE ROOM 7103
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City | AURORA
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State | CO
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Zip | 80045-2530
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Country | US
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Telephone | 717-421-2312
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Fax |
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Provider Business Mailing Address
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Address Line | 1387 ELM ST
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City | DENVER
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State | CO
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Zip | 80220-2514
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Country | US
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Telephone | 717-421-2312
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0991135-NP
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License Number State | CO
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