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General NPI Number Information
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NPI Number | 1568416964
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Entity Type | Organization
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Legal Business Name | LINDLEY HEALTHCARE, LLC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 326 LINDLEY LN
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City | NEWPORT
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State | AR
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Zip | 72112-4948
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Country | US
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Telephone | 870-523-6539
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Fax | 870-523-8561
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Provider Business Mailing Address
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Address Line | 326 LINDLEY LN
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City | NEWPORT
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State | AR
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Zip | 72112-4948
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Country | US
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Telephone | 870-523-6539
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Fax | 870-523-8561
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Authorized Official
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Title or Position | AGENT
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Name | MR. RICK D SAMPSON
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Credential |
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Telephone | 870-523-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 800
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License Number State | AR
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