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General NPI Number Information
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NPI Number | 1114931086
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Entity Type | Organization
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Legal Business Name | LISA HARRIS, OTR, PC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 4544 S LAMAR BLVD STE # 750
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City | AUSTIN
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State | TX
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Zip | 78745-1500
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Country | US
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Telephone | 512-892-7900
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Fax | 512-892-9298
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Provider Business Mailing Address
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Address Line | 4544 S LAMAR BLVD STE 750
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City | AUSTIN
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State | TX
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Zip | 78745-1500
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Country | US
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Telephone | 512-892-7900
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Fax | 512-892-9298
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Authorized Official
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Title or Position | BILLING MGR
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Name | VALERIE STREATER
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Credential |
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Telephone | 512-892-7900
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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 |
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License Number State |
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