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General NPI Number Information
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NPI Number | 1457478224
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Entity Type | Individual
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Provider Name | LYNDA GAIL SIZEMORE RM
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Gender | Female
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3413 PEMBROKE ST
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City | FORT COLLINS
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State | CO
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Zip | 80526-2300
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Country | US
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Telephone | 970-226-1371
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Fax | 970-282-8803
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Provider Business Mailing Address
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Address Line | 3413 PEMBROKE ST
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City | FORT COLLINS
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State | CO
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Zip | 80526-2300
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Country | US
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Telephone | 970-226-1371
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Fax | 970-282-8803
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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 | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number | 24
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License Number State | CO
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