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General NPI Number Information
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NPI Number | 1255564902
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Entity Type | Individual
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Provider Name | PAULA RABAEY
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Gender | Female
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 7250 FRANCE AVE S SUITE 306
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City | EDINA
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State | MN
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Zip | 55435-4305
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Country | US
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Telephone | 952-285-2840
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 TIERNEY DR
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City | HASTINGS
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State | MN
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Zip | 55033-8538
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 100571
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License Number State | MN
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