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General NPI Number Information
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NPI Number | 1164766531
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Entity Type | Individual
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Provider Name | VICTORIA ROSE CHANDLER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/25/2012
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Last Update Date | 11/25/2012
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Provider Practice Location Address
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Address Line | 27601 WESTCHESTER PKWY
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City | WESTLAKE
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State | OH
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Zip | 44145-1251
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Country | US
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Telephone | 440-871-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 6042 PARK RIDGE DR
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-4141
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Country | US
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Telephone | 440-554-4731
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.007741
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License Number State | OH
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