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NPI 1306463229

NPI 1306463229 : LINDSEY RACHEL FROST OTR/L : PLYMOUTH, MA

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General NPI Number Information
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    NPI Number           |    1306463229
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY RACHEL FROST OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/26/2020
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    Last Update Date     |    06/26/2020
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Provider Practice Location Address
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    Address Line         |    900 SHIP POND RD 
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    City                 |    PLYMOUTH
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    State                |    MA
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    Zip                  |    02360-1849
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    Country              |    US
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    Telephone            |    508-209-6415
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22 DRAKE CIR 
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    City                 |    WALPOLE
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    State                |    MA
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    Zip                  |    02081-4313
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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       |    13326
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    License Number State |    MA
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