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General NPI Number Information
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NPI Number | 1912833518
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Entity Type | Organization
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Legal Business Name | LYMPHEDEMA THERAPY SOURCE
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 309 W ELDORADO PKWY STE 108
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City | LITTLE ELM
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State | TX
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Zip | 75068-5382
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Country | US
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Telephone | 214-422-8265
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Fax | 214-614-9352
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Provider Business Mailing Address
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Address Line | 309 W ELDORADO PKWY STE 108
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City | LITTLE ELM
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State | TX
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Zip | 75068-5382
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Country | US
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Telephone | 214-422-8265
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Fax | 214-614-9352
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | REBECCA SUMMERS
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Credential | OT, CLT-LANA
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Telephone | 214-422-8265
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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 |
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License Number State |
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