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General NPI Number Information
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NPI Number | 1487623500
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Entity Type | Individual
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Provider Name | LINDA BROWNING HAGAN OTR
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 1605 SCHERM RD STE 1
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City | OWENSBORO
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State | KY
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Zip | 42301-5300
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Country | US
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Telephone | 270-685-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CEDAR GROVE CT
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City | ALVATON
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State | KY
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Zip | 42122-9579
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Country | US
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Telephone | 270-282-1511
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Fax | 270-777-1550
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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 | R0757
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License Number State | KY
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