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General NPI Number Information
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NPI Number | 1427587914
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Entity Type | Individual
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Provider Name | MICHAEL BLAKE LINDLEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 905 NEBRASKA AVE
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City | TOLEDO
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State | OH
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Zip | 43607-4222
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Country | US
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Telephone | 419-841-7701
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Fax | 419-255-4037
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Provider Business Mailing Address
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Address Line | PO BOX 281084
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City | ATLANTA
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State | GA
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Zip | 30384-1084
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01085533A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.168944
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | EMC0004490
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | U3738
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.137331
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License Number State | OH
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