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General NPI Number Information
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NPI Number | 1659309755
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Entity Type | Individual
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Provider Name | DAVID M LINGLE MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 700 ACADEMY ST S
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City | AHOSKIE
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State | NC
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Zip | 27910-3264
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Country | US
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Telephone | 252-209-5404
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Fax | 252-209-3490
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Provider Business Mailing Address
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Address Line | 700 ACADEMY ST S
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City | AHOSKIE
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State | NC
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Zip | 27910-3264
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Country | US
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Telephone | 252-209-5404
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Fax | 252-209-3490
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101055996
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2009-00346
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License Number State | NC
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