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General NPI Number Information
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NPI Number | 1134589864
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Entity Type | Individual
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Provider Name | CHERYL LYNN FAST MS,OTR/L,CLT-LANA
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Gender | Female
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 01/02/2018
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Provider Practice Location Address
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Address Line | 634 SW MULVANE ST STE 404
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City | TOPEKA
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State | KS
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Zip | 66606-1678
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Country | US
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Telephone | 785-270-7673
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Fax | 785-295-5415
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Provider Business Mailing Address
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Address Line | 634 SW MULVANE ST STE 404
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City | TOPEKA
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State | KS
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Zip | 66606-1678
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Country | US
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Telephone | 785-270-7673
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Fax | 785-295-5415
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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 | 17-000552
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License Number State | KS
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