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General NPI Number Information
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NPI Number | 1417500075
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Entity Type | Individual
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Provider Name | LINDSAY FRAME CLEARY
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Gender | Female
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2463 E GALA ST STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-5210
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Country | US
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Telephone | 208-955-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 15110 BAIN RD
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City | FORT MYERS
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State | FL
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Zip | 33908-1829
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Country | US
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Telephone | 239-322-2580
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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