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General NPI Number Information
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NPI Number | 1194640763
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Entity Type | Individual
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Provider Name | LANI MARSH
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Gender |
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 7055 MEXICO RD UNIT 1601
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City | SAINT PETERS
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State | MO
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Zip | 63376-2344
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Country | US
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Telephone | 636-866-1341
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Fax | 636-206-2556
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Provider Business Mailing Address
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Address Line | 455 PARKGATE DR
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-4384
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Country | US
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Telephone | 636-866-1341
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Fax | 636-206-2556
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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 | 2026037112
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License Number State | MO
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