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General NPI Number Information
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NPI Number | 1134927445
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Entity Type | Individual
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Provider Name | LINDSAY ASHLINN SMALL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 3540 COBB PKWY NW STE 300
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City | ACWORTH
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State | GA
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Zip | 30101-4179
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Country | US
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Telephone | 678-501-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 114 CHERRY GLEN WAY
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City | EUHARLEE
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State | GA
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Zip | 30145-2711
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Country | US
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Telephone | 678-739-7755
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OT009443
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT009443
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT009443
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License Number State | GA
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