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General NPI Number Information
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NPI Number | 1669879532
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Entity Type | Organization
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Legal Business Name | LYNDSAY R SHIPP MD PLLC
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 705 SISK AVE STE 105
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City | OXFORD
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State | MS
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Zip | 38655-3413
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Country | US
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Telephone | 662-371-1326
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Fax | 662-236-5010
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Provider Business Mailing Address
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Address Line | PO BOX 1158
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City | OXFORD
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State | MS
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Zip | 38655-1158
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Country | US
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Telephone | 623-711-3266
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Fax | 662-371-1325
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JILL OLMSTEAD-MCCRANEY
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Credential |
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Telephone | 662-371-1326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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