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General NPI Number Information
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NPI Number | 1578849220
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Entity Type | Individual
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Provider Name | MARY VIRGINIA FRANK OTR
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Gender | Female
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 2045 RAMA DR 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-1710
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Country | US
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Telephone | 317-635-3499
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Fax | 317-635-0499
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Provider Business Mailing Address
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Address Line | 1699 OBARA CT
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City | CARMEL
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State | IN
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Zip | 46033-9743
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Country | US
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Telephone | 317-844-8105
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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 | 31001658A
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License Number State | IN
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