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NPI 1629010814

NPI 1629010814 : LINDSAY A AUTIO MD : PETALUMA, CA

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General NPI Number Information
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    NPI Number           |    1629010814
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY A AUTIO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    400 N MCDOWELL BLVD DEPARTMENT OF ANESTHESIA
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    City                 |    PETALUMA
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    State                |    CA
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    Zip                  |    94954-2366
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    Country              |    US
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    Telephone            |    415-898-1228
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 25114 
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    City                 |    SANTA ANA
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    State                |    CA
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    Zip                  |    92799-5114
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    Country              |    US
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    Telephone            |    714-689-1560
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    G46289
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    License Number State |    CA
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