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General NPI Number Information
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NPI Number | 1609784396
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Entity Type | Individual
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Provider Name | KAYLIE LINGL OTR
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 4695 E NORTHFIELD DR
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City | BROWNSBURG
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State | IN
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Zip | 46112-1784
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Country | US
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Telephone | 317-520-4748
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Fax | 888-498-5529
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Provider Business Mailing Address
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Address Line | 8737 LAKE HILLS DR
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City | SAINT JOHN
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State | IN
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Zip | 46373-8730
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Country | US
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Telephone |
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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 | 31009162A
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License Number State | IN
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