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General NPI Number Information
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NPI Number | 1881460343
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Entity Type | Individual
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Provider Name | LINDSAY DAUCH
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Gender | Female
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 52915 MOUND ROAD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316
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Country | US
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Telephone | 586-210-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 52915 MOUND RD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-3266
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Country | US
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Telephone | 586-210-3200
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5601012568
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | 5601012568
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License Number State | MI
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