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General NPI Number Information
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NPI Number | 1538560214
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Entity Type | Individual
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Provider Name | LINDSAY ROSSER SMITH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 1300 ENTERPRISE DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-5746
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Country | US
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Telephone | 434-845-6045
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Fax |
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Provider Business Mailing Address
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Address Line | 1137 GLENFIELD DR
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City | LYNCHBURG
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State | VA
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Zip | 24502-2117
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Country | US
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Telephone | 434-944-1224
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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 | 0119006193
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License Number State | VA
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