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General NPI Number Information
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NPI Number | 1225476062
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Entity Type | Organization
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Legal Business Name | AMY LAPRES OCCUPATIONAL THERAPIST
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 2560 MONTESSOURI ST SUITE 113
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City | LAS VEGAS
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State | NV
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Zip | 89117-3061
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Country | US
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Telephone | 716-807-4179
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Fax | 702-483-6640
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Provider Business Mailing Address
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Address Line | 3797 VIA DI GIROLAMO AVE
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City | HENDERSON
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State | NV
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Zip | 89052-0515
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Country | US
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Telephone | 716-807-4179
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Fax | 702-483-6640
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | MRS. AMY MARIE LAPRES
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Credential | MS, OTR/L
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Telephone | 716-807-4179
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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 | 0850
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License Number State | NV
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