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General NPI Number Information
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NPI Number | 1942565122
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Entity Type | Individual
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Provider Name | LINDSEY KATHLEEN BAKER MOT
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Gender | Female
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 9224 S ELWOOD AVE SUITE A
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City | JENKS
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State | OK
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Zip | 74037-2363
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Country | US
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Telephone | 918-409-0157
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Fax | 918-209-4788
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Provider Business Mailing Address
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Address Line | 7029 S JOPLIN AVE APT 414
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City | TULSA
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State | OK
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Zip | 74136-3516
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Country | US
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Telephone | 918-605-6363
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 1775
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License Number State | OK
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