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General NPI Number Information
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NPI Number | 1306080783
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Entity Type | Individual
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Provider Name | BARBRA ELLEN ANDERSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 607 SMITH AVE
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City | ELWOOD
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State | NE
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Zip | 68937-5236
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Country | US
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Telephone | 308-785-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 76670 ROAD 416
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City | GOTHENBURG
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State | NE
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Zip | 69138-3419
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Country | US
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Telephone | 479-422-2293
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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 | AR OTR706
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | AR OT706
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 1399
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License Number State | NE
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