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General NPI Number Information
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NPI Number | 1427205285
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Entity Type | Individual
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Provider Name | DINA ANDERSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/24/2008
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Last Update Date | 08/24/2008
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Provider Practice Location Address
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Address Line | 6525 N MERIDIAN AVE STE 311
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-1410
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Country | US
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Telephone | 800-728-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 9002 N 134TH EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-2554
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Country | US
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Telephone | 918-272-7375
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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 | 1074
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License Number State | OK
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