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General NPI Number Information
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NPI Number | 1225523657
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Entity Type | Individual
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Provider Name | LAUREN ELISE HALL OTD, OTR
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 1045 WHIPPLE ST
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City | PRESCOTT
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State | AZ
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Zip | 86305-1662
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Country | US
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Telephone | 928-777-9897
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Fax |
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Provider Business Mailing Address
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Address Line | 7647 W CROCUS DR
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City | PEORIA
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State | AZ
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Zip | 85381-8518
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Country | US
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Telephone | 623-606-0883
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | AZ
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