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General NPI Number Information
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NPI Number | 1982873329
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Entity Type | Individual
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Provider Name | NIKEESHA LORD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 11/20/2022
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Provider Practice Location Address
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Address Line | 3100 NORTHSIDE PKWY NW
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City | ATLANTA
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State | GA
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Zip | 30327-1563
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Country | US
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Telephone | 404-480-5951
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Fax |
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Provider Business Mailing Address
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Address Line | 2897 N DRUID HILLS RD NE STE 382
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City | ATLANTA
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State | GA
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Zip | 30329-3924
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Country | US
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Telephone | 562-673-6063
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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 |
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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 | OT003905
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License Number State | GA
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