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General NPI Number Information
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NPI Number | 1104043470
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Entity Type | Individual
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Provider Name | LISA MARIE SANCHEZ OTA/L
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 1050 MEDICAL CENTER PKWY
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City | MAUMEE
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State | OH
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Zip | 43537-1904
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Country | US
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Telephone | 419-567-7281
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Fax |
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Provider Business Mailing Address
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Address Line | 1844 WILLOWHILL LN
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City | TOLEDO
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State | OH
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Zip | 43615-3770
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Country | US
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Telephone | 419-410-4554
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 2543
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License Number State | OH
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