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General NPI Number Information
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NPI Number | 1831143999
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Entity Type | Individual
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Provider Name | LIND G STEVENS OTR
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 11440 LITTLE PATUXENT PKWY APT 708
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City | COLUMBIA
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State | MD
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Zip | 21044-3773
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Country | US
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Telephone | 443-798-2930
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Fax | 443-798-2922
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Provider Business Mailing Address
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Address Line | 11440 LITTLE PATUXENT PKWY APT 708
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City | COLUMBIA
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State | MD
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Zip | 21044-3773
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Country | US
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Telephone | 301-642-2651
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Fax | 443-798-2922
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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 | 113142
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT010000496
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119004256
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 01162
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License Number State | MD
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