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General NPI Number Information
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NPI Number | 1730850843
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Entity Type | Individual
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Provider Name | ANITA LINDSEY LMSW, BHP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 134 N 4TH ST
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City | BROOKLYN
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State | NY
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Zip | 11249-3296
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Country | US
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Telephone | 516-595-3463
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 W ASPERA BLVD APT 1013
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City | GLENDALE
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State | AZ
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Zip | 85308-7919
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Country | US
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Telephone | 602-596-7222
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LMSW-15886
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License Number State | AZ
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