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General NPI Number Information
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NPI Number | 1972538114
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Entity Type | Individual
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Provider Name | DENNIS EDWARD LINDSEY PHD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 801 E CHAPMAN AVE STE 213
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City | FULLERTON
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State | CA
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Zip | 92831-3847
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Country | US
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Telephone | 714-449-1460
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Fax | 714-449-0633
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Provider Business Mailing Address
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Address Line | 167 ROSE DR
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City | FULLERTON
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State | CA
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Zip | 92833-2343
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Country | US
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Telephone | 714-449-1460
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Fax | 714-449-0633
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY 6827
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License Number State | CA
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