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General NPI Number Information
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NPI Number | 1174662985
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Entity Type | Individual
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Provider Name | SANDRA LEE HILLTRUPIANO OTL
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1725 THOELE RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-3254
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Country | US
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Telephone | 636-851-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 1237 TARA LN
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City | SAINT CHARLES
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State | MO
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Zip | 63304-6780
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Country | US
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Telephone | 636-447-2742
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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 | 2001015379
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License Number State | MO
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