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General NPI Number Information
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NPI Number | 1518155621
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Entity Type | Individual
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Provider Name | JOHN ALAN DAUP OTR/L
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 910 20TH ST
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City | GOTHENBURG
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State | NE
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Zip | 69138-1237
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Country | US
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Telephone | 308-537-4023
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 13TH AVE
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City | KEARNEY
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State | NE
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Zip | 68845-6658
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Country | US
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Telephone | 308-529-3825
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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 | 805
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License Number State | NE
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