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General NPI Number Information
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NPI Number | 1508578147
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Entity Type | Organization
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Legal Business Name | EAGLE CARE SOLUTIONS, PC
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 173 CARTER 301A
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City | VAN BUREN
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State | MO
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Zip | 63965-5502
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Country | US
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Telephone | 618-570-1505
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | VAN BUREN
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State | MO
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Zip | 63965-0083
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Country | US
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Telephone | 618-570-1505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY J LINDSAY
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Credential | MD
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Telephone | 618-570-1505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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