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General NPI Number Information
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NPI Number | 1174842124
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Entity Type | Individual
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Provider Name | NANCY LAHEY EHAT OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 333 GELLERT BLVD STE 101
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City | DALY CITY
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State | CA
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Zip | 94015-2614
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Country | US
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Telephone | 650-991-9911
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Fax | 650-991-9898
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Provider Business Mailing Address
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Address Line | 1880 LENOLT ST
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City | REDWOOD CITY
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State | CA
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Zip | 94063-1059
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Country | US
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Telephone | 650-704-4921
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT 3794
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License Number State | CA
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