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General NPI Number Information
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NPI Number | 1184970261
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Entity Type | Individual
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Provider Name | LINDSEY KIRKLAND HICKMAN OT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 125 ISLAND DR
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-4544
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Country | US
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Telephone | 615-714-9224
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Fax | 615-246-0528
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Provider Business Mailing Address
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Address Line | 125 ISLAND DR
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-4544
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Country | US
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Telephone | 615-714-9224
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Fax | 615-246-0528
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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 | OT005490
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4838
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License Number State | TN
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