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NPI 1013064633

NPI 1013064633 : TANIA KNEUER OTL ASDCS : BEND, OR

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General NPI Number Information
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    NPI Number           |    1013064633
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    Entity Type          |    Individual 
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    Provider Name        |    TANIA KNEUER OTL ASDCS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2007
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    Last Update Date     |    01/06/2024
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Provider Practice Location Address
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    Address Line         |    63368 SADDLEBACK DR 
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    City                 |    BEND
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    State                |    OR
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    Zip                  |    97703-8566
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    Country              |    US
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    Telephone            |    541-390-1493
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    Fax                  |    541-322-7565
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Provider Business Mailing Address
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    Address Line         |    63368 SADDLEBACK DR 
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    City                 |    BEND
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    State                |    OR
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    Zip                  |    97703-8566
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    Country              |    US
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    Telephone            |    541-390-1493
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    Fax                  |    541-322-7565
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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        |    225XM0800X
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    Taxonomy Name        |    Mental Health Occupational Therapist
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    License Number       |    1039951
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    225XN1300X
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    Taxonomy Name        |    Neurorehabilitation Occupational Therapist
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    License Number       |    1039951
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    License Number State |    OR
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Taxonomy #3
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    Taxonomy Code        |    225XP0019X
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    Taxonomy Name        |    Physical Rehabilitation Occupational Therapist
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    License Number       |    1039951
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    License Number State |    OR
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Taxonomy #4
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    1039951
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    License Number State |    OR
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Taxonomy #5
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    Taxonomy Code        |    225XM0800X
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    Taxonomy Name        |    Mental Health Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    1039951
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    License Number State |    OR
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Taxonomy #7
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    1039951
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    License Number State |    OR
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Taxonomy #8
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    Taxonomy Code        |    225XF0002X
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    Taxonomy Name        |    Feeding, Eating & Swallowing Occupational Therapist
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    License Number       |    1039951
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    License Number State |    OR
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Taxonomy #9
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    Taxonomy Code        |    225XG0600X
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    Taxonomy Name        |    Gerontology Occupational Therapist
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    License Number       |    1039951
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    License Number State |    OR
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Taxonomy #10
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    Taxonomy Code        |    225XH1300X
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    Taxonomy Name        |    Human Factors Occupational Therapist
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    License Number       |    1039951
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    License Number State |    OR
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