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General NPI Number Information
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NPI Number | 1427245828
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Entity Type | Individual
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Provider Name | LASHAY M AUSTIN MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/29/2007
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 2790 ELKMONT RDG SW
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City | ATLANTA
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State | GA
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Zip | 30331-9434
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Country | US
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Telephone | 843-319-0592
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Fax | 404-346-7869
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Provider Business Mailing Address
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Address Line | PO BOX 2128
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-7509
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Country | US
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Telephone | 843-319-0592
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Fax | 404-346-7869
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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 | OT004360
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License Number State | GA
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