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General NPI Number Information
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NPI Number | 1528711835
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Entity Type | Individual
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Provider Name | ANNA ELISABETH DEPTOLA OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1350 ALUM CREEK DR
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City | COLUMBUS
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State | OH
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Zip | 43209-2705
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Country | US
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Telephone | 614-262-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 72 E LAKEVIEW AVE
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City | COLUMBUS
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State | OH
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Zip | 43202-1215
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Country | US
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Telephone | 513-478-8536
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT011638
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License Number State | OH
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