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General NPI Number Information
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NPI Number | 1063968626
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Entity Type | Individual
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Provider Name | LYNDSAY ROPER MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 3730 LEGACY DR. SUITE 3730
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City | WEATHERFORD
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State | OK
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Zip | 73096-5443
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Country | US
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Telephone | 580-772-2604
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Fax | 580-772-2906
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Provider Business Mailing Address
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Address Line | 1320 HICKORY ST
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City | WEATHERFORD
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State | OK
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Zip | 73096-2743
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Country | US
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Telephone | 760-402-4259
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Fax | 580-772-2906
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 1694
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 1694
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 1694
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License Number State | OK
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