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General NPI Number Information
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NPI Number | 1568759835
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Entity Type | Individual
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Provider Name | GAIL DIANE HURD MS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 2181 AMBLESIDE DR
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City | CLEVELAND
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State | OH
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Zip | 44106-4645
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Country | US
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Telephone | 216-791-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 916 CHURCH ST
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City | LOUISVILLE
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State | OH
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Zip | 44641-1842
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Country | US
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Telephone | 330-605-5619
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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 | OT.007824
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License Number State | OH
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