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General NPI Number Information
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NPI Number | 1912090804
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Entity Type | Individual
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Provider Name | STUART LINDSAY DDS
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 3672 W SOUTH JORDAN PKWY SUITE D104
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-7171
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Country | US
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Telephone | 801-599-2480
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Fax |
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Provider Business Mailing Address
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Address Line | 1945 S 1300 E APT #20
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-3642
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Country | US
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Telephone | 801-599-2480
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6244643
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License Number State | UT
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