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General NPI Number Information
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NPI Number | 1043581515
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Entity Type | Individual
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Provider Name | EMILY ANTOINETTE HURST OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/15/2012
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Last Update Date | 01/15/2012
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Provider Practice Location Address
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Address Line | 1029 E 5TH ST
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City | CONNERSVILLE
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State | IN
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Zip | 47331-3301
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Country | US
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Telephone | 765-825-0543
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Fax |
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Provider Business Mailing Address
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Address Line | 322 BUCKEYE ST
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City | HAMILTON
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State | OH
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Zip | 45011-1631
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Country | US
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Telephone | 513-844-2658
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Fax | 513-844-2658
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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 | 31004727A
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License Number State | IN
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