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General NPI Number Information
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NPI Number | 1861085896
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Entity Type | Individual
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Provider Name | LINDSAY CROSSLEY RD, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2021
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 1000 N LEE AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1036
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Country | US
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Telephone | 405-272-6207
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Fax |
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Provider Business Mailing Address
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Address Line | 4220 TWO LAKES AVE
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City | NORMAN
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State | OK
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Zip | 73072-9746
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Country | US
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Telephone | 405-323-4212
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-151823
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86083846
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License Number State | OK
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