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General NPI Number Information
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NPI Number | 1174826895
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Entity Type | Individual
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Provider Name | VANESSA RAE HEEP OTD, M.S., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/20/2010
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Last Update Date | 07/27/2014
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Provider Practice Location Address
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Address Line | 7627 EAGLE LEDGE
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2787
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Country | US
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Telephone | 210-793-8363
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Fax | 281-476-6387
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Provider Business Mailing Address
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Address Line | 7627 EAGLE LEDGE
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2787
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Country | US
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Telephone | 210-793-8363
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Fax | 281-476-6387
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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