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General NPI Number Information
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NPI Number | 1437935731
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Entity Type | Individual
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Provider Name | MADELYN RAU OTR
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Gender | Female
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 3003 FALLING LEAF CT
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City | COLUMBIA
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State | MO
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Zip | 65201-3549
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Country | US
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Telephone | 573-256-4620
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Fax |
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Provider Business Mailing Address
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Address Line | 1190 CINNAMON HILL LN APT 203
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City | COLUMBIA
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State | MO
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Zip | 65201-8179
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Country | US
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Telephone | 513-236-6505
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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 | 2023033569
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License Number State | MO
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