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General NPI Number Information
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NPI Number | 1265041503
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Entity Type | Individual
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Provider Name | HILLARY HARPER STENNIS LOTR
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Gender | Female
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 648 CRESTWOOD BLVD
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City | COVINGTON
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State | LA
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Zip | 70433-8261
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Country | US
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Telephone | 662-292-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 19183 HECTOR ST
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City | MANDEVILLE
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State | LA
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Zip | 70471-6943
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Country | US
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Telephone | 622-292-3205
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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 |
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