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NPI 1598896037

NPI 1598896037 : JULIA R TONCHEFF OTR : VALPARAISO, IN

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General NPI Number Information
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    NPI Number           |    1598896037
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    Entity Type          |    Individual 
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    Provider Name        |    JULIA R TONCHEFF OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/08/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3101 EVANS AVE 
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    City                 |    VALPARAISO
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    State                |    IN
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    Zip                  |    46383-6939
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    Country              |    US
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    Telephone            |    219-462-0786
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    Fax                  |    219-548-7543
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Provider Business Mailing Address
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    Address Line         |    3207 MARTHA ST 
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    City                 |    HIGHLAND
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    State                |    IN
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    Zip                  |    46322-2842
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    Country              |    US
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    Telephone            |    219-689-4646
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    Fax                  |    219-922-8748
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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       |    31003148A
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    License Number State |    IN
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Taxonomy #2
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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 |    IL
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