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General NPI Number Information
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NPI Number | 1992238968
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Entity Type | Individual
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Provider Name | LINDSAY C. BOVEN MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 5750 W THUNDERBIRD RD STE A100
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City | GLENDALE
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State | AZ
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Zip | 85306-4661
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Country | US
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Telephone | 602-938-3205
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Fax | 602-938-5799
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Provider Business Mailing Address
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Address Line | 4530 E SHEA BLVD STE 180
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City | PHOENIX
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State | AZ
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Zip | 85028-6042
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Country | US
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Telephone | 602-264-4834
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Fax | 602-254-5178
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 73956
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License Number State | AZ
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