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General NPI Number Information
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NPI Number | 1548314198
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Entity Type | Individual
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Provider Name | MARIANNE LINDROTH M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 605 COTTAGE AVE
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City | COLUMBUS
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State | IN
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Zip | 47201-6074
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Country | US
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Telephone | 812-377-6020
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Fax | 812-377-6024
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Provider Business Mailing Address
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Address Line | 205 MILLER SPRINGS COURTQ ATTN:CBO
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City | FRANKLIN
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State | TN
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Zip | 37064-5434
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Country | US
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Telephone | 615-468-6548
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Fax | 615-296-0151
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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 | 1051703A
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License Number State | IN
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