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NPI 1245401264

NPI 1245401264 : ANGELA SZOMBATI : OREGON, OH

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General NPI Number Information
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    NPI Number           |    1245401264
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA SZOMBATI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/18/2008
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    Last Update Date     |    03/18/2008
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Provider Practice Location Address
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    Address Line         |    904 ISAAC STREETS DR 
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    City                 |    OREGON
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    State                |    OH
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    Zip                  |    43616-3204
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    Country              |    US
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    Telephone            |    419-691-2483
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    928 TURNER AVE 
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43607-3030
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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        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    03773
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    License Number State |    OH
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