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General NPI Number Information
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NPI Number | 1811559255
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Entity Type | Individual
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Provider Name | LINDSEY ANN NEMSHICK
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Gender | Female
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Dates
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Enumeration Date | 07/06/2019
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 1630 RIVERTON RD
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City | CINNAMINSON
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State | NJ
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Zip | 08077-2343
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Country | US
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Telephone | 856-786-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 2132 NAUDAIN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1219
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Country | US
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Telephone | 267-664-5023
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS042288
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02760000
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License Number State | NJ
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