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General NPI Number Information
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NPI Number | 1932190386
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Entity Type | Individual
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Provider Name | STEPHEN R LINDHOLM MD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 113 W ESSEX ST SUITE 201
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City | MAYWOOD
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State | NJ
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Zip | 07607-1023
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Country | US
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Telephone | 201-226-0145
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Fax | 201-226-0147
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Provider Business Mailing Address
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Address Line | 113 W ESSEX ST SUITE 201
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City | MAYWOOD
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State | NJ
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Zip | 07607-1023
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Country | US
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Telephone | 201-226-0145
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Fax | 201-226-0147
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A80180
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA08253100
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License Number State | NJ
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