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General NPI Number Information
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NPI Number | 1508386673
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Entity Type | Individual
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Provider Name | STEPHANIE REGINA LINDSAY
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 185 WOODY CIR
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City | TRYON
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State | NC
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Zip | 28782-6824
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Country | US
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Telephone | 828-702-6084
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Fax | 828-894-6588
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Provider Business Mailing Address
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Address Line | 39 SMALL LN
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City | SALUDA
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State | NC
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Zip | 28773-9890
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Country | US
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Telephone | 828-702-6084
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 8547
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License Number State | NC
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