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General NPI Number Information
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NPI Number | 1669559340
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Entity Type | Organization
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Legal Business Name | RAYMOND W. LINDEMANN
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 1145 LYONS RD # D
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City | CENTERVILLE
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State | OH
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Zip | 45458-1875
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Country | US
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Telephone | 937-434-0509
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Fax | 937-434-1825
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Provider Business Mailing Address
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Address Line | 1145 LYONS RD # D
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City | CENTERVILLE
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State | OH
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Zip | 45458-1875
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Country | US
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Telephone | 937-434-0509
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Fax | 937-434-1825
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RAYLENE ABNER
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Credential |
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Telephone | 937-434-0509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT1675
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License Number State | OH
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