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NPI Code Detail

MEDICARE: TAYLOR LINGLE

MEDICARE: TAYLOR LINGLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5314OK

General Provider Information

NPI Number : 1164086260
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR LINGLE
Provider Business Mailing Address
First Line : 1405 4TH AVE NW # 296
Second Line :
City : ARDMORE
State : OK
Zip : 73401-2708
Country : US
Telephone Number : 580-226-5566
Fax Number :
Provider Business Practice Location Address
First Line : 3701 N MLK JR BLVD
Second Line :
City : TULSA
State : OK
Zip : 74106-6450
Country : US
Telephone Number : 580-226-5566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2019
Last Update Date : 04/24/2019

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Directions to “ TAYLOR LINGLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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