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NPI 1720581168

NPI 1720581168 : LINDSAY THATCHER CPNP : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1720581168
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY THATCHER CPNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/12/2018
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    1500 W ROSEDALE ST 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76104-7403
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    Country              |    US
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    Telephone            |    682-885-3426
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    Fax                  |    682-885-7699
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Provider Business Mailing Address
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    Address Line         |    801 7TH AVE 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76104-2733
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    Country              |    US
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    Telephone            |    682-885-4000
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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        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    AP138853
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    AP138853
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    95007180
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    License Number State |    CA
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