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General NPI Number Information
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NPI Number | 1356868590
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Entity Type | Individual
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Provider Name | DANIEL ROOP OTR/L
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Gender | Male
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 1006 OLD KNOXVILLE RD
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City | TAZEWELL
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State | TN
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Zip | 37879-4138
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Country | US
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Telephone | 423-626-2405
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Fax |
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Provider Business Mailing Address
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Address Line | 8323 BAY GARDEN LN
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City | KNOXVILLE
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State | TN
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Zip | 37938-4595
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Country | US
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Telephone | 423-489-0884
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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 | 2487
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License Number State | TN
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