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General NPI Number Information
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NPI Number | 1447662077
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Entity Type | Individual
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Provider Name | LINDY NETTLETON
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Gender | Female
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 645 INTERSTATE DR
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City | GRAYSON
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State | KY
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Zip | 41143-1704
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Country | US
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Telephone | 606-474-0669
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Fax | 606-474-0376
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7723
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Fax | 615-920-8775
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36691
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License Number State | SC
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04270
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License Number State | KY
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