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General NPI Number Information
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NPI Number | 1992034698
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Entity Type | Individual
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Provider Name | LINDSAY ANNE GROOMS MSW; APSW
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Gender | Female
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 2225 DEER VALLEY RD
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City | LINDEN
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State | TN
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Zip | 37096-5479
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Country | US
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Telephone | 931-589-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 DEER VALLEY RD PO BOX 560
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City | LINDEN
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State | TN
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Zip | 37096-5479
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Country | US
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Telephone | 931-589-2500
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 127705-121
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License Number State | WI
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