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General NPI Number Information
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NPI Number | 1548487762
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Entity Type | Individual
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Provider Name | MARY LOU MEIER OTR
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1202 HEARTLAND RD
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-3492
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Country | US
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Telephone | 816-671-8506
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Fax |
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Provider Business Mailing Address
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Address Line | 20627 COUNTY ROAD 386
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City | SAINT JOSEPH
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State | MO
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Zip | 64505-3194
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Country | US
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Telephone | 816-233-6342
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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 | 2004019538
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License Number State | MO
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