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General NPI Number Information
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NPI Number | 1184754442
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Entity Type | Organization
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Legal Business Name | NORTH STAR THERAPY INC.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 43335 KALIFORNSKY BEACH RD STE 32- A
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City | SOLDOTNA
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State | AK
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Zip | 99669-8280
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Country | US
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Telephone | 907-262-5456
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Fax | 907-262-5475
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Provider Business Mailing Address
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Address Line | PO BOX 2559
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City | KENAI
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State | AK
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Zip | 99611-2559
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Country | US
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Telephone | 907-262-5456
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Fax | 907-262-5475
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBIN LAMPMAN
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Credential | M.A. OTRL
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Telephone | 907-262-5456
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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 | 312936
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License Number State | AK
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