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General NPI Number Information
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NPI Number | 1295332716
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Entity Type | Individual
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Provider Name | STEPHANIE LYNNE APPLEGATE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 585 N STATE ROUTE 741
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City | LEBANON
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State | OH
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Zip | 45036-3313
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Country | US
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Telephone | 513-932-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 2849 MACINTOSH LN APT B
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City | MAINEVILLE
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State | OH
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Zip | 45039-9349
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Country | US
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Telephone | 513-702-7918
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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 | OT.007777
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License Number State | OH
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