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General NPI Number Information
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NPI Number | 1457774721
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Entity Type | Individual
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Provider Name | ANGELICA LIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 253 CRAIG MANOR RD
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City | LANCASTER
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State | SC
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Zip | 29720-6531
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Country | US
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Telephone | 803-286-1464
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 INDIA HOOK RD
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City | ROCK HILL
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State | SC
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Zip | 29732-1926
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Country | US
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Telephone | 347-761-8437
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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 | 8949
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4226
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License Number State | SC
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