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General NPI Number Information
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NPI Number | 1093585903
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Entity Type | Individual
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Provider Name | LAUREN ASHLEY SALAIZ OTR
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Gender | Female
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 702 E EXPY 83 STE A6
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City | DONNA
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State | TX
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Zip | 78537-2742
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Country | US
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Telephone | 956-420-1802
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Fax | 956-420-1804
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Provider Business Mailing Address
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Address Line | 1803 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-6929
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Country | US
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Telephone | 956-358-0807
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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 | 124220
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License Number State | TX
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