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General NPI Number Information
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NPI Number | 1841001716
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Entity Type | Individual
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Provider Name | LINDSEY BROOKE NEBEL
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Gender | Female
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 14935 HOLLY KNOLL LN
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City | GAINESVILLE
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State | VA
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Zip | 20155-4899
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Country | US
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Telephone | 703-743-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 6198 WILLOW PL
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City | BEALETON
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State | VA
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Zip | 22712-6740
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Country | US
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Telephone | 785-615-8048
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 0131002957
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License Number State | MO
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