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General NPI Number Information
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NPI Number | 1497236186
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Entity Type | Individual
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Provider Name | DIANA BALSER OTR
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 300 ASTORIA RD
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City | GERMANTOWN
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State | OH
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Zip | 45327-1712
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Country | US
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Telephone | 937-266-0903
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Fax |
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Provider Business Mailing Address
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Address Line | 10949 COBBLE BROOK DR
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City | CENTERVILLE
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State | OH
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Zip | 45458-9739
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Country | US
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Telephone | 937-885-7228
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Fax | 847-881-9665
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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 | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | OT-04812
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-04812
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License Number State | OH
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