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General NPI Number Information
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NPI Number | 1427720002
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Entity Type | Organization
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Legal Business Name | THE INSPIRED GROUP
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 1203 S 75TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74112-6723
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Country | US
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Telephone | 801-708-4018
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 S 75TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74112-6723
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Country | US
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Telephone | 801-708-4018
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | THERESA OJO
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Credential |
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Telephone | 801-708-4018
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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 |
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License Number State |
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