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General NPI Number Information
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NPI Number | 1336423326
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Entity Type | Individual
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Provider Name | MIRANDA ANN KEY OTR
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 10/07/2011
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Provider Practice Location Address
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Address Line | 8103 N. HOLLOW
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City | SAN ANTONIO
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State | TX
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Zip | 78240
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Country | US
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Telephone | 210-558-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 220 W. CRAIG PL.
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City | SAN ANTONIO
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State | TX
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Zip | 78212
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Country | US
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Telephone | 210-734-7724
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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 | 103649
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License Number State | TX
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