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NPI 1619134939

NPI 1619134939 : LINDSAY ANN BARRY DDS : KIRKLAND, WA

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General NPI Number Information
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    NPI Number           |    1619134939
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY ANN BARRY DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2008
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    Last Update Date     |    08/15/2009
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Provider Practice Location Address
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    Address Line         |    12911 120TH AVE NE STE E10 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98034-3022
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    Country              |    US
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    Telephone            |    425-821-9833
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12238 95TH PL NE 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98034-6210
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    Country              |    US
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    Telephone            |    415-407-5357
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    Fax                  |    
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DE00010280
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DE00010280
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    License Number State |    WA
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