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General NPI Number Information
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NPI Number | 1447446547
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Entity Type | Individual
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Provider Name | DENISE ANN STOUT LOTR
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Gender | Female
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 2229 N CARROLL BLVD DENTON NURSING AND REHABILITATION CENTER - REHABCARE
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City | DENTON
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State | TX
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Zip | 76201-1833
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Country | US
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Telephone | 940-395-1397
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 OWNBY LN
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6331
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Country | US
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Telephone | 817-756-2349
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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 | 109826
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License Number State | TX
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