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General NPI Number Information
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NPI Number | 1245436062
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Entity Type | Individual
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Provider Name | LYNETTE MARIE O'BRIEN OTRL
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Gender | Female
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1215 21ST AVE S MCE SOUTH TOWER SUITE 3312
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City | NASHVILLE
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State | TN
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Zip | 37232-0014
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Country | US
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Telephone | 615-343-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 431 TYLER CT
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City | COTTONTOWN
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State | TN
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Zip | 37048-9666
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Country | US
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Telephone | 615-775-1893
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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 | 0000002401
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License Number State | TN
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