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General NPI Number Information
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NPI Number | 1073884128
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Entity Type | Individual
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Provider Name | TAMI LYNN BITTNER MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/21/2012
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Last Update Date | 01/21/2012
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Provider Practice Location Address
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Address Line | 46247 275TH ST
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City | CHANCELLOR
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State | SD
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Zip | 57015-5731
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Country | US
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Telephone | 605-321-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 46247 275TH ST
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City | CHANCELLOR
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State | SD
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Zip | 57015-5731
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Country | US
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Telephone | 605-321-6445
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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 | 0492
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License Number State | SD
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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 | 102551
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 01342
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License Number State | IA
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