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General NPI Number Information
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NPI Number | 1598752511
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Entity Type | Organization
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Legal Business Name | UPPER EXTREMITY SPECIALISTS, INC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 1926 CHATTANOOGA PL SUITE A
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City | DALLAS
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State | TX
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Zip | 75235-6279
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Country | US
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Telephone | 214-352-4443
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Fax | 214-357-2513
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Provider Business Mailing Address
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Address Line | 1926 CHATTANOOGA PL SUITE A
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City | DALLAS
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State | TX
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Zip | 75235-6279
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Country | US
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Telephone | 214-352-4443
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Fax | 214-357-2513
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Authorized Official
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Title or Position | DIRECTOR/PRESIDENT
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Name | MARGARET WISE
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Credential | OTR, CHT, CVE, CCM
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Telephone | 214-352-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XE1200X
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Taxonomy Name | Ergonomics Occupational Therapist
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225XH1300X
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Taxonomy Name | Human Factors Occupational Therapist
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State | TX
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Taxonomy #6
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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 | TX
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