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General NPI Number Information
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NPI Number | 1457487555
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Entity Type | Individual
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Provider Name | DIANE J HALLER OTR
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1610 SW 37TH ST
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City | TOPEKA
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State | KS
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Zip | 66611
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Country | US
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Telephone | 785-267-2960
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Fax |
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Provider Business Mailing Address
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Address Line | 27637 HINERVILLE ROAD
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City | ALMA
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State | KS
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Zip | 66401
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Country | US
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Telephone | 785-765-3855
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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 | 1700127
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License Number State | KS
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