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General NPI Number Information
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NPI Number | 1275056202
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Entity Type | Individual
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Provider Name | REBECCA ROGERS FLANAGAN OTR
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Gender | Female
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 4402 WILLIAMS DR STE 115
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City | GEORGETOWN
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State | TX
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Zip | 78628-1388
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Country | US
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Telephone | 512-256-7627
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Fax | 512-375-3291
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Provider Business Mailing Address
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Address Line | 12440 ALAMEDA TRACE CIR APT 2117
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City | AUSTIN
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State | TX
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Zip | 78727-7607
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Country | US
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Telephone | 662-315-4769
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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