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General NPI Number Information
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NPI Number | 1932619780
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Entity Type | Individual
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Provider Name | LYNDSEY W BAXLEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 10/06/2017
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Provider Practice Location Address
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Address Line | 700 CENTURY PARK SOUTH SUITE 128
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City | BIRMINGHAM
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State | AL
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Zip | 35226
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Country | US
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Telephone | 205-823-1215
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Fax | 205-822-4999
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Provider Business Mailing Address
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Address Line | PO BOX 360884
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City | BIRMINGHAM
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State | AL
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Zip | 35236
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Country | US
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Telephone | 205-823-1215
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Fax | 205-822-4999
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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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 | 3739
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License Number State | AL
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