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General NPI Number Information
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NPI Number | 1376744383
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Entity Type | Individual
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Provider Name | MELISSA SUE LINDSEY OTRL
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 211 N MARKET ST
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City | SPARTA
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State | IL
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Zip | 62286-2081
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Country | US
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Telephone | 618-446-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 RAYMOND DR
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City | RED BUD
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State | IL
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Zip | 62278-1424
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Country | US
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Telephone | 850-714-4554
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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 | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | 056011765
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License Number State | IL
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