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General NPI Number Information
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NPI Number | 1215053723
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Entity Type | Individual
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Provider Name | TERESA M SCOTT OT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 507 N MCCULLOUGH ST
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City | URBANA
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State | IL
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Zip | 61801-1640
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Country | US
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Telephone | 217-383-6033
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Fax | 217-337-6589
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Provider Business Mailing Address
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Address Line | 611 W PARK ST
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City | URBANA
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State | IL
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Zip | 61801-2500
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Country | US
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Telephone | 217-326-2911
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Fax | 217-344-8047
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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 | IL
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