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General NPI Number Information
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NPI Number | 1750669008
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Entity Type | Individual
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Provider Name | DEBORAH LYNN LINDSAY LPA
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Gender | Female
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 8601 SIX FORKS RD SUITE 400
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City | RALEIGH
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State | NC
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Zip | 27615-5276
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Country | US
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Telephone | 919-810-2890
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Fax |
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Provider Business Mailing Address
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Address Line | 5208 LOVELL CT
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City | RALEIGH
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State | NC
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Zip | 27613-5618
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Country | US
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Telephone | 919-810-2890
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1874
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License Number State | NC
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