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NPI 1871488221

NPI 1871488221 : LINDSEY JANE BOLDT M.S., CCC-SLP : VESTAVIA HILLS, AL

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General NPI Number Information
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    NPI Number           |    1871488221
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY JANE BOLDT M.S., CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/09/2025
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    Last Update Date     |    06/09/2025
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Provider Practice Location Address
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    Address Line         |    2151 OLD ROCKY RIDGE RD STE 100 
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    City                 |    VESTAVIA HILLS
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    State                |    AL
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    Zip                  |    35216-7251
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    Country              |    US
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    Telephone            |    205-583-2883
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    Fax                  |    205-968-4157
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Provider Business Mailing Address
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    Address Line         |    3240 RIDGELY DR 
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    City                 |    VESTAVIA
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    State                |    AL
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    Zip                  |    35243-5104
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    Country              |    US
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    Telephone            |    334-332-8244
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    5855
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    License Number State |    AL
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