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General NPI Number Information
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NPI Number | 1457539132
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Entity Type | Individual
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Provider Name | HOPE MARIE OSHEFSKY C.O.T.A
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Gender | Female
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 717 E ALFRED ST
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City | WEYAUWEGA
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State | WI
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Zip | 54983-9024
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Country | US
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Telephone | 920-867-3121
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Fax | 920-867-3997
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Provider Business Mailing Address
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Address Line | 3107 WESTHILL DR
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City | WAUSAU
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State | WI
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Zip | 54401-3774
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Country | US
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Telephone | 715-261-8902
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Fax | 715-842-0577
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 2050-027
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License Number State | WI
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