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General NPI Number Information
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NPI Number | 1538839493
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Entity Type | Individual
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Provider Name | ALEXANDRIA TRESS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 4720 S HARVARD AVE STE 202
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City | TULSA
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State | OK
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Zip | 74135-3071
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Country | US
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Telephone | 918-747-7901
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Fax |
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Provider Business Mailing Address
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Address Line | 13602 EAST 34TH ST NORTH 202
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City | OWASSO
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State | OK
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Zip | 74055
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Country | US
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Telephone | 814-657-8085
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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 |
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License Number State |
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