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General NPI Number Information
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NPI Number | 1487479762
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Entity Type | Individual
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Provider Name | GINA LINDO
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 12024 NW 136TH TER
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City | PIEDMONT
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State | OK
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Zip | 73078-9174
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Country | US
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Telephone | 405-657-6297
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Fax |
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Provider Business Mailing Address
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Address Line | 12024 NW 136TH TER
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City | PIEDMONT
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State | OK
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Zip | 73078-9174
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Country | US
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Telephone | 405-657-6297
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 080809653
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | W080809653
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License Number State | OK
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