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General NPI Number Information
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NPI Number | 1346510039
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Entity Type | Individual
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Provider Name | ANNIE HSIAO-AN HSU O.T.R.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 808 TOWER DR SUITE 7
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City | ODESSA
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State | TX
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Zip | 79761-4239
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Country | US
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Telephone | 432-335-8777
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Fax |
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Provider Business Mailing Address
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Address Line | 3609 CALDERA BLVD APT 205
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City | MIDLAND
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State | TX
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Zip | 79707-2801
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Country | US
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Telephone |
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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 | 114158
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License Number State | TX
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