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General NPI Number Information
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NPI Number | 1164022000
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Entity Type | Individual
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Provider Name | KARA B DALSBO OTR
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 1350 RIVER RUN DR
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-5487
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Country | US
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Telephone | 715-451-0677
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 NORTH OAK AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-9914
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Country | US
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Telephone | 715-407-4660
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Fax | 715-407-4738
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6891-26
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License Number State | WI
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