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General NPI Number Information
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NPI Number | 1356563068
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Entity Type | Individual
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Provider Name | ERIC L. MYERS OTR,L
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 36855 RIDGE RD
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4128
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Country | US
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Telephone | 440-942-4342
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Fax | 440-942-4150
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Provider Business Mailing Address
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Address Line | 1812 ELDON DR
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City | WICKLIFFE
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State | OH
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Zip | 44092-1535
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Country | US
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Telephone | 440-516-1536
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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-004631
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License Number State | OH
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