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General NPI Number Information
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NPI Number | 1548618069
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Entity Type | Organization
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Legal Business Name | LINDSLEY AND ASSOCIATES
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 1620 S TAVERNER DR
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City | RIDGEFIELD
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State | WA
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Zip | 98642-7802
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Country | US
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Telephone | 360-903-1508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1264
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City | RIDGEFIELD
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State | WA
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Zip | 98642-0015
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Country | US
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Telephone | 360-903-1508
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Fax | 360-326-1621
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID D LINDSLEY
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Credential | RD
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Telephone | 360-903-1508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | DI00001197
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number | DI00001197
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | DI00001197
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License Number State | WA
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