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General NPI Number Information
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NPI Number | 1720275340
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Entity Type | Organization
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Legal Business Name | LOU A LINDAMOOD
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 1401 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1908
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Country | US
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Telephone | 765-983-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 249 114 W WAYNE STREET
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City | NEW MADISON
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State | OH
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Zip | 45346-0249
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Country | US
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Telephone | 937-996-1673
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Fax |
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Authorized Official
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Title or Position | RN
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Name | LOU ANN LINDAMOOD
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Credential |
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Telephone | 937-996-1673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 173516
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 28111112A
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License Number State | OH
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