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General NPI Number Information
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NPI Number | 1750411344
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Entity Type | Individual
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Provider Name | DEREK JOSEPH LINDSEY SR. MD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7819 LIBERTY RD
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City | BALTIMORE
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State | MD
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Zip | 21244
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Country | US
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Telephone | 410-922-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 900 HILLSTEAD DRIVE
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City | LUTHERVILLE
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State | MD
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Zip | 21093
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Country | US
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Telephone | 410-889-6076
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D26146
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License Number State | MD
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