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General NPI Number Information
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NPI Number | 1215068648
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Entity Type | Individual
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Provider Name | JENNY VELAZCO-LOWE BA
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5782 OBSERVATION CT
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City | MILFORD
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State | OH
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Zip | 45150-1472
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Country | US
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Telephone | 513-312-3964
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Fax | 866-505-5231
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Provider Business Mailing Address
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Address Line | 35 COVE CT
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City | HAMILTON
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State | OH
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Zip | 45013-6313
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Country | US
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Telephone | 513-863-4594
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Fax | 866-505-5231
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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 | OT 005663
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License Number State | OH
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