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General NPI Number Information
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NPI Number | 1982413910
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Entity Type | Individual
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Provider Name | TAYLOR LINDSAY BRANDT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 6896 RIVER RD
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City | COLUMBUS
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State | GA
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Zip | 31904-2337
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Country | US
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Telephone | 404-482-0763
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Fax |
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Provider Business Mailing Address
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Address Line | 776 LEE ROAD 270
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City | CUSSETA
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State | AL
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Zip | 36852-3044
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT008753
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License Number State | GA
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