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NPI 1982567970

NPI 1982567970 : LINDSEY DAWN PIERCE : MUSKOGEE, OK

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General NPI Number Information
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    NPI Number           |    1982567970
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY DAWN PIERCE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2025
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    1805 N YORK ST STE H 
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    City                 |    MUSKOGEE
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    State                |    OK
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    Zip                  |    74403-1442
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    Country              |    US
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    Telephone            |    918-912-2796
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    Fax                  |    919-513-5808
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Provider Business Mailing Address
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    Address Line         |    1805 N YORK ST STE H 
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    City                 |    MUSKOGEE
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    State                |    OK
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    Zip                  |    74403-1442
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    Country              |    US
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    Telephone            |    918-912-2796
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    Fax                  |    918-513-5808
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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        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    2758
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    License Number State |    OK
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