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General NPI Number Information
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NPI Number | 1609351634
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Entity Type | Individual
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Provider Name | SAFFRON THEISS
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Gender | Female
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 135 PLAZA DR
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City | KERRVILLE
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State | TX
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Zip | 78028-2230
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Country | US
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Telephone | 830-895-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 128 COOL ROCK
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City | BOERNE
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State | TX
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Zip | 78006-2998
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Country | US
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Telephone |
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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 |
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License Number State |
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