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General NPI Number Information
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NPI Number | 1629301981
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Entity Type | Individual
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Provider Name | LINDSAY ALLISON MUNDEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 03/12/2022
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Provider Practice Location Address
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Address Line | 951 SOUTHPOINT CIR STE B
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City | VALPARAISO
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State | IN
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Zip | 46385-6282
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Country | US
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Telephone | 219-286-7121
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Fax |
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Provider Business Mailing Address
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Address Line | 314 W SEDGEWOOD DR
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City | VALPARAISO
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State | IN
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Zip | 46385-0008
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Country | US
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Telephone | 219-405-3506
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209008831
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28165546A
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License Number State | IN
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