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General NPI Number Information
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NPI Number | 1700639697
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Entity Type | Individual
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Provider Name | LINDSEY AUSTIN
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Gender | Female
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 20566 TIMBERLAKE RD STE A
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City | LYNCHBURG
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State | VA
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Zip | 24502-7221
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Country | US
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Telephone | 434-239-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 53 20TH ST
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City | BUCHANAN
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State | VA
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Zip | 24066-5155
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Country | US
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Telephone | 540-460-2854
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-7556-698726
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License Number State | VA
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