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General NPI Number Information
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NPI Number | 1346386182
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Entity Type | Individual
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Provider Name | ELIZABETH INGA OTR
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1881 SYLVAN AVE STE 150
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City | DALLAS
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State | TX
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Zip | 75208-2002
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Country | US
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Telephone | 214-333-7015
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Fax |
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Provider Business Mailing Address
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Address Line | 3615 PARK LN
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City | DALLAS
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State | TX
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Zip | 75220-1707
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Country | US
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Telephone | 214-566-1464
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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 | 104402
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License Number State | TX
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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 | 104402
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License Number State | TX
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