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General NPI Number Information
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NPI Number | 1487434148
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Entity Type | Individual
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Provider Name | GARY HENG OTR/L
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Gender | Male
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 10588 LEGACY DR
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City | FRISCO
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State | TX
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Zip | 75033-6516
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Country | US
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Telephone | 214-619-4599
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Fax |
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Provider Business Mailing Address
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Address Line | 6404 WHITE OAKS LN
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City | FRISCO
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State | TX
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Zip | 75035-7713
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Country | US
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Telephone | 972-670-1344
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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 | 118573
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License Number State | TX
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