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General NPI Number Information
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NPI Number | 1720033574
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Entity Type | Individual
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Provider Name | LINDSEY ELLIOTT DE GUEHERY MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 41800 W 11 MILE RD STE 109
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City | NOVI
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State | MI
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Zip | 48375-1818
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Country | US
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Telephone | 252-291-5864
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Fax | 800-290-5015
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Provider Business Mailing Address
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Address Line | 1405 KENAN ST NW
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City | WILSON
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State | NC
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Zip | 27893-2345
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Country | US
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Telephone | 252-315-7954
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Fax |
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 28018
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 28018
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28018
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License Number State | NC
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