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General NPI Number Information
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NPI Number | 1790006021
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Entity Type | Individual
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Provider Name | LINDSAY ZIMMERMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 1000 MONROE AVE NW
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-1455
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Country | US
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Telephone | 812-249-0247
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 MONROE AVE NW
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-1455
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301096537
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01072788A
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License Number State | IN
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