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General NPI Number Information
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NPI Number | 1548295827
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Entity Type | Individual
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Provider Name | NANCY H LINDBERG MD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 113 ELM ST SUITE 302
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City | ENFIELD
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State | CT
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Zip | 06082-3700
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Country | US
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Telephone | 860-741-3069
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Fax | 860-745-3864
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Provider Business Mailing Address
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Address Line | 113 ELM ST SUITE 302
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City | ENFIELD
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State | CT
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Zip | 06082-3700
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Country | US
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Telephone | 860-741-3069
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Fax | 860-745-3864
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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 | 031577
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License Number State | CT
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