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General NPI Number Information
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NPI Number | 1639158694
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Entity Type | Individual
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Provider Name | ELISA M LINDLEY MD
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Gender | Female
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 39300 BOB HOPE DR BANNAN BLDG STE 1207
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270
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Country | US
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Telephone | 760-837-3999
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Fax | 760-837-0220
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Provider Business Mailing Address
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Address Line | 39300 BOB HOPE DR BANNAN BLDG STE 1207
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3203
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Country | US
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Telephone | 760-837-3999
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Fax | 760-837-0220
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A71071
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License Number State | CA
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