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General NPI Number Information
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NPI Number | 1285561761
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Entity Type | Individual
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Provider Name | ERIN MARLO HASTERT OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 114 S 20TH ST
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City | DENISON
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State | IA
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Zip | 51442-2251
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Country | US
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Telephone | 712-263-3114
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 16TH ST
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City | HARLAN
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State | IA
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Zip | 51537-1938
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Country | US
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Telephone | 712-540-4764
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Fax | 712-540-4764
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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 | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | 097418
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License Number State | IA
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