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General NPI Number Information
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NPI Number | 1831991504
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Entity Type | Organization
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Legal Business Name | LINDLE FAMILY MEDICINE & WELLNESS CLINIC, LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 512B E GREER ST
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City | HONEA PATH
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State | SC
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Zip | 29654-1823
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Country | US
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Telephone | 864-369-5003
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Fax | 864-860-0265
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Provider Business Mailing Address
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Address Line | 512B E GREER ST
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City | HONEA PATH
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State | SC
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Zip | 29654-1823
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Country | US
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Telephone | 864-369-5003
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Fax | 864-860-0265
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Authorized Official
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Title or Position | CO-OWNER
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Name | TONJA L LINDLE
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Credential | NP
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Telephone | 865-369-5003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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