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General NPI Number Information
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NPI Number | 1659756583
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Entity Type | Organization
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Legal Business Name | LINDSAY MEDICAL PLAZA LLC
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 409 S MAIN ST
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City | LINDSAY
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State | OK
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Zip | 73052-6448
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Country | US
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Telephone | 405-756-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 409 S MAIN ST
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City | LINDSAY
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State | OK
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Zip | 73052-6448
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | ANGELA AMPARANO
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Credential | NP
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Telephone | 405-756-7840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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