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General NPI Number Information
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NPI Number | 1538016019
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Entity Type | Organization
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Legal Business Name | LYMPHEDEMA ONCOLOGY & OCCUPATIONAL THERAPY PROFESSIONALS, LLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 511 RONALD REAGAN PKWY UNIT 16
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City | LOUGHMAN
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State | FL
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Zip | 33858-9802
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Country | US
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Telephone | 844-466-5967
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Fax |
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Provider Business Mailing Address
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Address Line | 511 RONALD REAGAN PKWY UNIT 16
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City | LOUGHMAN
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State | FL
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Zip | 33858-9802
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Country | US
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Telephone | 844-466-5967
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | ADRAIN WALKER
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Credential | MSOT, OTR/L, CLT
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Telephone | 844-466-5967
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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 |
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License Number State |
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