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General NPI Number Information
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NPI Number | 1043524259
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Entity Type | Organization
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Legal Business Name | LYTLE AND ASSOCIATES SPECIALIZED THERAPY LLC
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 2700 SUNSET BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-1158
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Country | US
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Telephone | 740-264-7505
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Fax | 740-264-7535
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Provider Business Mailing Address
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Address Line | 2700 SUNSET BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-1158
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Country | US
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Telephone | 740-264-7505
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Fax | 740-264-7535
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Authorized Official
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Title or Position | OWNER
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Name | LISA M LYTLE
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Credential | OT
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Telephone | 740-264-7505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 1041100185
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License Number State | OH
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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 | OT004994
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License Number State | OH
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