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General NPI Number Information
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NPI Number | 1265376420
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Entity Type | Individual
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Provider Name | LARA NEUBAUER MA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 100 LONDON RD
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City | MARSHALL
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State | MN
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Zip | 56258-3070
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Country | US
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Telephone | 507-537-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 80850 400TH ST
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City | BIRD ISLAND
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State | MN
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Zip | 55310-2090
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Country | US
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Telephone | 320-522-0600
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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 | 104347
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License Number State | MN
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