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General NPI Number Information
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NPI Number | 1528291820
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Entity Type | Individual
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Provider Name | LISE ELLEN LEHOUX OTR
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 306 S BRYAN RD
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City | MISSION
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State | TX
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Zip | 78572-6222
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Country | US
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Telephone | 956-585-3333
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Fax | 956-585-3441
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Provider Business Mailing Address
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Address Line | 3301 N K CTR APT C201
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City | MCALLEN
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State | TX
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Zip | 78501-1536
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Country | US
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Telephone | 713-775-7723
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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 | 112674
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License Number State | TX
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