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General NPI Number Information
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NPI Number | 1578954467
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Entity Type | Individual
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Provider Name | TARA GILBERT ALDRED OTR
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Gender | Female
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 9220 KIRBY DR SUITE 1000
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City | HOUSTON
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State | TX
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Zip | 77054-2533
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Country | US
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Telephone | 281-924-7528
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Fax | 713-383-9795
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Provider Business Mailing Address
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Address Line | 9220 KIRBY DR SUITE 1000
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City | HOUSTON
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State | TX
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Zip | 77054-2533
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Country | US
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Telephone | 281-924-7528
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Fax | 713-383-9795
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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 | 110235
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License Number State | TX
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