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General NPI Number Information
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NPI Number | 1194548578
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Entity Type | Individual
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Provider Name | LYNDI GEHA
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 736 MAIN ST
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City | BOONVILLE
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State | MO
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Zip | 65233-1656
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Country | US
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Telephone | 660-882-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 505B W WALNUT ST
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City | FAYETTE
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State | MO
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Zip | 65248-1364
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2024043889
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License Number State | MO
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