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General NPI Number Information
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NPI Number | 1376856997
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Entity Type | Individual
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Provider Name | HONG THU NEUBAUER OTR
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Gender | Female
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Dates
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Enumeration Date | 07/24/2010
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | CHI ST. LUKE'S HEALTH 6723 BERTNER AVE
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 832-355-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 9155 N 3RD ST
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City | PHOENIX
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State | AZ
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Zip | 85020-2410
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Country | US
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Telephone | 602-944-1666
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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 | 119689
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 5489
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License Number State | AZ
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