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General NPI Number Information
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NPI Number | 1194789891
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Entity Type | Individual
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Provider Name | CORRINE MARIE VATNSDAL-GECK OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 2615 FAIRWAY ST
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City | DICKINSON
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State | ND
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Zip | 58601-2590
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Country | US
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Telephone | 701-456-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5074
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5074
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Country | US
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Telephone |
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 531
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 531
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License Number State | ND
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