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General NPI Number Information
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NPI Number | 1134548084
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Entity Type | Organization
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Legal Business Name | STILLWATER THERAPY SOLUTIONS
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 812 S WALNUT ST
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City | STILLWATER
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State | OK
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Zip | 74074-4225
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Country | US
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Telephone | 405-372-7101
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Fax | 480-275-3728
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Provider Business Mailing Address
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Address Line | 812 S WALNUT ST
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City | STILLWATER
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State | OK
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Zip | 74074-4225
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Country | US
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Telephone | 405-372-7101
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Fax | 480-275-3728
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | NANCY ELIZABETH MCLEAN
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Credential | OTR/L
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Telephone | 405-372-7101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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